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General NPI Number Information
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NPI Number | 1821933433
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Entity Type | Organization
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Legal Business Name | MATILDA HEALTH ASSOCIATES
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 24082 ROUTE 35 N
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City | MIFFLINTOWN
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State | PA
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Zip | 17059-7926
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Country | US
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Telephone | 717-915-6801
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 UNION ST NE FL 7
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City | WASHINGTON
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State | DC
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Zip | 20002-7042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP MITCHELL
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Credential |
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Telephone | 720-480-9613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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