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General NPI Number Information
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NPI Number | 1790772184
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Entity Type | Organization
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Legal Business Name | ELK REGIONAL PROFESSIONAL GROUP, INC.
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 275 E 4TH ST
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City | EMPORIUM
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State | PA
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Zip | 15834-1411
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Country | US
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Telephone | 814-486-1785
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Fax | 814-486-3111
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Provider Business Mailing Address
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Address Line | 763 JOHNSONBURG RD
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City | SAINT MARYS
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State | PA
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Zip | 15857-3417
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Country | US
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Telephone | 814-788-8580
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Fax | 814-888-8042
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Authorized Official
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Title or Position | VICE PRESIDENT, ERPG
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Name | RITA V OLSZEWSKI
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Credential |
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Telephone | 814-788-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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