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General NPI Number Information
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NPI Number | 1104940501
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Entity Type | Organization
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Legal Business Name | EDWARD E. JANUS, D.O.,P.C.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3123 W 12TH ST 3C
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City | ERIE
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State | PA
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Zip | 16505-3848
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Country | US
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Telephone | 814-836-9478
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Fax | 814-836-8570
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Provider Business Mailing Address
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Address Line | 3123 W 12TH ST 3C
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City | ERIE
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State | PA
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Zip | 16505-3848
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Country | US
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Telephone | 814-836-9478
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Fax | 814-836-8570
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD E JANUS
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Credential | D.O.
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Telephone | 814-836-9478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0003666L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS003666L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | OS003666L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS0003666L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | OS0003666L
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License Number State | PA
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