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Amy Elvidge

NPI Registration Record

Provider / OrganizationNPIDate Certified
AMY ELVIDGE12559331312020-11-15
Entity TypeIndividual
Provider Name Amy Elvidge
Practice Office Address130 OLD YORK RD
NEW CUMBERLAND, PA US
Practice Office Telephone7179094320
Mailing Address130 OLD YORK RD
NEW CUMBERLAND, PA 170702443 US
Business Telephone7179094320
HPT Codes
CodeLicense NoState
183500000X PRIMARYRP044132L PA
OPI Codes

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