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General NPI Number Information
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NPI Number | 1851330658
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Entity Type | Organization
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Legal Business Name | IRWIN FAMILY CARE, PC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 905 SPRUCE ST STE 201
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City | IRWIN
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State | PA
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Zip | 15642-3683
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Country | US
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Telephone | 724-864-9595
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Fax | 724-864-9860
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Provider Business Mailing Address
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Address Line | 905 SPRUCE ST
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City | N HUNTINGDON
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State | PA
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Zip | 15642-3683
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Country | US
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Telephone | 724-864-9595
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Fax | 724-864-9860
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Authorized Official
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Title or Position | M.D./OWNER
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Name | DR. JAWDAT A NIKOULA
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Credential | M.D.
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Telephone | 724-832-7887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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