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General NPI Number Information
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NPI Number | 1023735735
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Entity Type | Organization
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Legal Business Name | CENTERS MENTAL AND MEDICAL CARE
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 9528 LINCOLN HWY STE 1
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City | BEDFORD
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State | PA
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Zip | 15522-3764
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Country | US
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Telephone | 814-310-5409
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Fax | 814-310-5410
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Provider Business Mailing Address
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Address Line | 9528 LINCOLN HWY STE 1
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City | BEDFORD
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State | PA
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Zip | 15522-3764
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Country | US
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Telephone | 814-310-5409
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Fax | 814-310-5410
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MARC MERMELSTEIN
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Credential |
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Telephone | 917-902-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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