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General NPI Number Information
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NPI Number | 1548301393
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Entity Type | Organization
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Legal Business Name | RICHARD F. LATUSKA, M.D.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 102 TECHNOLOGY DR SUITE 230
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City | BUTLER
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State | PA
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Zip | 16001-1782
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Country | US
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Telephone | 724-482-0095
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Fax | 724-482-2033
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Provider Business Mailing Address
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Address Line | 102 TECHNOLOGY DR SUITE 230
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City | BUTLER
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State | PA
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Zip | 16001-1784
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Country | US
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Telephone | 724-482-0095
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Fax | 724-482-2033
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD FRANCIS LATUSKA
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Credential | M.D.
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Telephone | 724-482-0095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD038916E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS007169L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD025407E
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License Number State | PA
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