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General NPI Number Information
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NPI Number | 1033304043
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Entity Type | Organization
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Legal Business Name | MARY ANNE FREEMAN BRNDJAR DO
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 4 W MAIN ST
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City | MACUNGIE
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State | PA
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Zip | 18062-1120
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Country | US
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Telephone | 610-965-6200
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Fax | 610-965-6211
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Provider Business Mailing Address
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Address Line | 4 W MAIN ST
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City | MACUNGIE
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State | PA
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Zip | 18062-1120
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Country | US
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Telephone | 610-965-6200
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Fax | 610-965-6211
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARY ANNE FREEMAN BRNDJAR
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Credential | DO
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Telephone | 610-820-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS008332L
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License Number State | PA
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