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General NPI Number Information
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NPI Number | 1962956029
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Entity Type | Organization
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Legal Business Name | OLYMPIC CORPORATION
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Dates
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Enumeration Date | 08/06/2016
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Last Update Date | 08/06/2016
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Provider Practice Location Address
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Address Line | 401 SMITH DR SUITE 4
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-4140
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Country | US
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Telephone | 724-772-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 302 GRACE DEL LN
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City | PITTSBURGH
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State | PA
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Zip | 15237-4300
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Country | US
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Telephone | 412-369-9059
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH WAPENSKI
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Credential | MD
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Telephone | 412-369-9059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD044065E
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License Number State | PA
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