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General NPI Number Information
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NPI Number | 1073653598
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Entity Type | Individual
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Provider Name | MARK JON LUDWIG MA, LMFT, MS, CAADC
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 444 S STATE ST STE B3
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City | NEWTOWN
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State | PA
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Zip | 18940-1945
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Country | US
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Telephone | 267-753-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 640 PENN ST
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City | NEWTOWN
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State | PA
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Zip | 18940-1802
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Country | US
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Telephone | 267-753-9333
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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 | MF001215
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License Number State | PA
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