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General NPI Number Information
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NPI Number | 1013557552
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Entity Type | Organization
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Legal Business Name | MILLMARK HEALTH INC.
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/22/2022
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Provider Practice Location Address
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Address Line | 528 SEVEN BRIDGE RD STE 132
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-7621
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Country | US
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Telephone | 570-218-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 528 SEVEN BRIDGE RD STE 132
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-7621
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Country | US
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Telephone | 570-218-7476
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MUHAMMAD ASIF
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Credential | MD
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Telephone | 570-218-7476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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