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General NPI Number Information
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NPI Number | 1356795694
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Entity Type | Organization
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Legal Business Name | MONARCH INTEGRATIVE MEDICINE, LLC
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 267 SCHUYLKILL RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-1879
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Country | US
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Telephone | 610-935-4745
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Fax | 610-935-4748
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Provider Business Mailing Address
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Address Line | 267 SCHUYLKILL RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-1879
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Country | US
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Telephone | 610-935-4745
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Fax | 610-935-4748
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STACEY KUHNS
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Credential | M.D.
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Telephone | 610-935-4745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD032147E
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License Number State | PA
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