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General NPI Number Information
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NPI Number | 1902830573
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Entity Type | Individual
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Provider Name | JEFFREY D RESCH D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 20 OHLTOWN RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2331
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Country | US
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Telephone | 330-797-9705
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Fax | 330-270-5997
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Provider Business Mailing Address
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Address Line | 20 OHLTOWN RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2331
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Country | US
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Telephone | 330-797-9705
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Fax | 330-270-5997
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34003213
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License Number State | OH
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