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General NPI Number Information
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NPI Number | 1811280613
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Entity Type | Organization
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Legal Business Name | RICHARD P. BONFIGLIO, MD. PC
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 4125 OLD WILLIAM PENN HWY
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1921
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Country | US
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Telephone | 724-327-8255
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Fax | 724-325-2783
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Provider Business Mailing Address
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Address Line | 4125 OLD WILLIAM PENN HWY
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1921
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Country | US
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Telephone | 724-327-8255
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Fax | 724-325-2783
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD P BONFIGLIO
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Credential | M.D.
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Telephone | 724-327-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD-025969-E
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License Number State | PA
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