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General NPI Number Information
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NPI Number | 1093812703
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY SPECIALISTS, PC
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 540 SOUTH ST SUITE 306
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City | GREENSBURG
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State | PA
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Zip | 15601-2774
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Country | US
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Telephone | 724-832-3130
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Fax | 724-832-7301
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Provider Business Mailing Address
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Address Line | 540 SOUTH ST SUITE 306
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City | GREENSBURG
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State | PA
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Zip | 15601-2774
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Country | US
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Telephone | 724-832-3130
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Fax | 724-832-7301
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHAN KOWALYK
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Credential | M.D.
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Telephone | 724-832-3130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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