# JASON A RUPEKA D O LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104080753
- **Authorized official:** JASON A RUPEKA D.O. (SOLE MEMBER)
- **Authorized official phone:** (330) 392-5800

## Contact information

- **Practice address:** 2219 E MARKET ST, WARREN, OH 44483-6105
- **Practice address phone:** (330) 392-5800
- **Practice address fax:** (330) 392-6993
- **Mailing address:** 2219 E MARKET ST, WARREN, OH 44483-6105
- **Mailing address phone:** (330) 392-5800
- **Mailing address fax:** (330) 392-6993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34-008796 | OH | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 07/14/2008