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General NPI Number Information
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NPI Number | 1619080660
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Entity Type | Organization
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Legal Business Name | FRANK A REZK
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 1704 PHILADELPHIA AVE
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City | NORTHERN CAMBRIA
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State | PA
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Zip | 15714-1180
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Country | US
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Telephone | 814-948-2058
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Fax | 814-948-7139
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Provider Business Mailing Address
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Address Line | 657 INDUSTRIAL PARK RD PO BOX 337
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City | EBENSBURG
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State | PA
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Zip | 15931-4111
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Country | US
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Telephone | 814-471-0627
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Fax | 814-471-0639
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. FRANK A REZK
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Credential |
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Telephone | 814-471-0627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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