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NPI 1043514938

NPI 1043514938 : ROBERT MACHAMER JR. D.MIN. : MACUNGIE, PA

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General NPI Number Information
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    NPI Number           |    1043514938
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT MACHAMER JR. D.MIN.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/06/2011
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    Last Update Date     |    01/06/2011
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Provider Practice Location Address
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    Address Line         |    2001 KINGSVIEW RD 
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    City                 |    MACUNGIE
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    State                |    PA
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    Zip                  |    18062-8021
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    Country              |    US
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    Telephone            |    610-334-3295
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2001 KINGSVIEW RD 
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    City                 |    MACUNGIE
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    State                |    PA
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    Zip                  |    18062-8021
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    Country              |    US
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    Telephone            |    610-334-3295
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MF000093
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    License Number State |    PA
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