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General NPI Number Information
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NPI Number | 1629229125
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Entity Type | Organization
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Legal Business Name | BUCKS MERCER PAIN AND REHAB INSTITUTE PC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 5000 BENSALEM BLVD
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City | BENSALEM
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State | PA
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Zip | 19020-4043
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Country | US
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Telephone | 215-638-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 BENSALEM BLVD
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City | BENSALEM
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State | PA
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Zip | 19020-4043
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Country | US
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Telephone | 215-638-4340
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH KEPKO
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Credential | DO
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Telephone | 215-638-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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