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General NPI Number Information
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NPI Number | 1851314439
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Entity Type | Individual
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Provider Name | JOSEPH W BOZEK JR. D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 336 COLLEGE AVE
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City | BEAVER
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State | PA
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Zip | 15009-2231
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Country | US
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Telephone | 724-774-1525
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Fax | 724-774-0366
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Provider Business Mailing Address
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Address Line | 336 COLLEGE AVE PROF ARTS BUILDING
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City | BEAVER
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State | PA
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Zip | 15009-2231
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Country | US
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Telephone | 724-774-1525
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Fax | 724-774-0366
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC002220L
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License Number State | PA
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