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General NPI Number Information
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NPI Number | 1821085044
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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 | 10/03/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 761 JOHNSONBURG RD SUITE 310
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City | ST MARYS
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State | PA
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Zip | 15857-3483
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Country | US
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Telephone | 814-788-8188
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Fax | 814-834-6291
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Provider Business Mailing Address
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Address Line | 761 JOHNSONBURG RD SUITE 310
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City | ST MARYS
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State | PA
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Zip | 15857-3483
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Country | US
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Telephone | 814-788-8188
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Fax | 814-834-6291
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number |
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License Number State |
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