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General NPI Number Information
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NPI Number | 1942156914
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Entity Type | Organization
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Legal Business Name | REA DIRECT CARE PC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 11676 PERRY HWY STE 2105
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City | WEXFORD
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State | PA
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Zip | 15090-7200
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Country | US
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Telephone | 412-871-6564
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Fax | 412-665-9273
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Provider Business Mailing Address
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Address Line | 11676 PERRY HWY STE 2105
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City | WEXFORD
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State | PA
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Zip | 15090-7200
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Country | US
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Telephone | 412-871-6564
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Fax | 412-665-9273
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIELLE BRIDGET WILLIAMSON-REA
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Credential | DO
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Telephone | 412-871-6564
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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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