Taxonomy Code 208D00000X(208d00000x)
General Practice Physician. Providers: 1

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General Practice Physician Providers

NPI Name Type Address

1790751154

D.O. Brenton Vaughn Long

Individual

21159 Paint Blvd

Suite 2

Shippenville, PA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 208D00000X
Display Name General Practice Physician
Taxonomy Group Allopathic & Osteopathic Physicians
Taxonomy Classification General Practice
Definition Definition to come...
Effective Date September 30, 2009
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