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General NPI Number Information
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NPI Number | 1235258724
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Entity Type | Organization
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Legal Business Name | COLON & RECTAL CARE CENTER OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1225 S MAIN ST SUITE 302A
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City | GREENSBURG
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State | PA
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Zip | 15601-5370
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Country | US
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Telephone | 724-853-6580
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Fax | 724-853-6582
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Provider Business Mailing Address
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Address Line | 1225 S MAIN ST SUITE 302A
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City | GREENSBURG
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State | PA
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Zip | 15601-5370
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Country | US
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Telephone | 724-853-6580
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Fax | 724-853-6582
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. RICHARD A HAPP
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Credential | MD
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Telephone | 724-853-6580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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