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General NPI Number Information
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NPI Number | 1447311857
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Entity Type | Individual
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Provider Name | MITCHELL ALAN OFFNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 100 E 1ST ST FL 7 RPC MOUNT VERNON SERVICE CENTER
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City | MOUNT VERNON
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State | NY
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Zip | 10550-3406
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Country | US
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Telephone | 914-363-1482
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Fax | 914-633-8947
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Provider Business Mailing Address
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Address Line | 10 PATRICIA PL
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City | YONKERS
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State | NY
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Zip | 10704-2704
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Country | US
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Telephone | 347-341-3769
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Fax | 914-664-6937
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 189664
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License Number State | NY
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