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General NPI Number Information
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NPI Number | 1134291909
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Entity Type | Organization
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Legal Business Name | GREENSBURG MEDICAL ASSOCIATES LTD
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 545 RUGH ST. SUITE 5000
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City | GREENSBURG
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State | PA
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Zip | 15601-5684
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Country | US
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Telephone | 724-836-8400
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Fax | 724-836-8459
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Provider Business Mailing Address
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Address Line | 545 RUGH ST SUITE 5000
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City | GREENSBURG
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State | PA
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Zip | 15601-5684
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Country | US
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Telephone | 724-836-8400
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Fax | 724-836-8459
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT TYMOCZKO
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Credential | MD
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Telephone | 724-836-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD022676E
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License Number State | PA
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