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General NPI Number Information
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NPI Number | 1184682395
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Entity Type | Organization
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Legal Business Name | NORTHWEST PHYSICIANS ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 1012 WATER ST
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City | MEADVILLE
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State | PA
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Zip | 16335-3444
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Country | US
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Telephone | 814-333-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 WATER ST
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City | MEADVILLE
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State | PA
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Zip | 16335-3444
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Country | US
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Telephone | 814-333-2001
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BRUCE W ARMSTRONG
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Credential |
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Telephone | 412-823-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 39D0904344
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License Number State | PA
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