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General NPI Number Information
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NPI Number | 1619032760
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Entity Type | Organization
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Legal Business Name | MANDELL J. MUCH, D.O.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 689 UNIONVILLE RD
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1787
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Country | US
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Telephone | 610-444-8446
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Fax |
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Provider Business Mailing Address
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Address Line | 689 UNIONVILLE RD
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1787
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Country | US
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Telephone | 610-444-8446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MANDELL J MUCH
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Credential | D.O.
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Telephone | 610-444-8446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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