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General NPI Number Information
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NPI Number | 1467536870
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Entity Type | Organization
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Legal Business Name | OSTEOPATHIC MEDICAL &SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 5473 VILLAGE COMMON DR SUITE 201
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City | ERIE
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State | PA
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Zip | 16506-4961
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Country | US
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Telephone | 814-835-9191
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Fax | 814-835-3323
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Provider Business Mailing Address
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Address Line | 5473 VILLAGE COMMON DR SUITE 201
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City | ERIE
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State | PA
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Zip | 16506-4961
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Country | US
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Telephone | 814-835-9191
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Fax | 814-835-3323
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN N. ESPER
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Credential | DO
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Telephone | 814-835-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OS004681L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS004681L
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License Number State | PA
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