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General NPI Number Information
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NPI Number | 1730549098
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Entity Type | Organization
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Legal Business Name | FORWARD FOCUS, PC
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 90 W CHESTNUT ST SUITE 400
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City | WASHINGTON
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State | PA
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Zip | 15301-4524
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Country | US
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Telephone | 724-206-9535
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Fax | 724-503-4185
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Provider Business Mailing Address
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Address Line | 90 W CHESTNUT ST SUITE 400
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City | WASHINGTON
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State | PA
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Zip | 15301-4524
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Country | US
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Telephone | 724-206-9535
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Fax | 724-503-4185
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WILLIAM TRUSNOVIC
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Credential | M.D.
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Telephone | 724-206-9535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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