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Individual
WILLIAM E LONGENECKER
Active
Individual
WILLIAM E LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004630L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008053410003
—
PA
01
—
411827
BLUE SHIELD
PA
01
—
50051191
CAPITAL BLUE
PA
01
—
P002397
GATEWAY
PA
01
—
P00256720
RAILROAD MEDICARE
PA
Enumeration date
07/06/2006
Last updated
05/27/2015
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