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General NPI Number Information
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NPI Number | 1215126255
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Entity Type | Organization
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Legal Business Name | MARK F YUREK MD
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/30/2010
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Provider Practice Location Address
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Address Line | 1035 WAYNE AVE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2986
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Country | US
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Telephone | 717-264-0123
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Fax | 717-264-0181
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Provider Business Mailing Address
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Address Line | 1035 WAYNE AVE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2986
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Country | US
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Telephone | 717-264-0123
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Fax | 717-264-0181
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | MR. BRIAN D YUREK
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Credential |
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Telephone | 717-264-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD039302L
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License Number State | PA
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