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General NPI Number Information
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NPI Number | 1891866810
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Entity Type | Organization
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Legal Business Name | JOSEPH REZK
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 112 S MAIN ST
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City | BUTLER
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State | PA
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Zip | 16001-5913
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Country | US
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Telephone | 724-477-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 115 SOUTH MAIN STREET P.O. BOX 520
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City | CARROLLTOWN
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State | PA
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Zip | 15722-0520
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Country | US
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Telephone | 814-344-8994
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH REZK
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Credential |
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Telephone | 814-344-8994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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