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General NPI Number Information
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NPI Number | 1801984661
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Entity Type | Organization
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Legal Business Name | REZK MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 1750 NEW BUTLER ROAD
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City | NEW CASTLE
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State | PA
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Zip | 16101
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Country | US
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Telephone | 724-658-6585
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Fax | 724-658-6743
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Provider Business Mailing Address
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Address Line | 227 MOHAWK DRIVE
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City | NEW CASTLE
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State | PA
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Zip | 16105
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Country | US
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Telephone | 724-657-0469
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Fax | 724-658-6743
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Authorized Official
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Title or Position | OWNER
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Name | HANY SADEK REZK
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Credential | MD
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Telephone | 724-658-6585
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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 | MD059077 L
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License Number State | PA
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