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General NPI Number Information
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NPI Number | 1497518468
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Entity Type | Individual
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Provider Name | MARLY BRODSKY CHES
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Gender | Female
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 355 COTTONWOOD DR
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City | LANGHORNE
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State | PA
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Zip | 19047-8025
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Country | US
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Telephone | 760-583-1553
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Fax |
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Provider Business Mailing Address
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Address Line | 20 TERRY DR UNIT 190
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City | NEWTOWN
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State | PA
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Zip | 18940-4908
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Country | US
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Telephone | 760-583-1553
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 38821
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License Number State |
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