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General NPI Number Information
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NPI Number | 1568679629
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Entity Type | Organization
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Legal Business Name | BRIAN SZABO,DPM,PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/22/2008
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Provider Practice Location Address
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Address Line | 2501 SHENANGO VALLEY FWY SUITE 2
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City | HERMITAGE
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State | PA
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Zip | 16148-2536
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Country | US
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Telephone | 724-981-1141
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Fax | 724-981-1658
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Provider Business Mailing Address
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Address Line | 2501 SHENANGO VALLEY FWY SUITE 2
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City | HERMITAGE
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State | PA
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Zip | 16148-2536
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Country | US
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Telephone | 724-981-1141
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Fax | 724-981-1658
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN SZABO
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Credential | DPM
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Telephone | 724-981-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC002909L
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License Number State | PA
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