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General NPI Number Information
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NPI Number | 1831906783
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Entity Type | Organization
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Legal Business Name | MDK HEALTH
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 3985 COLUMBIA AVE UNIT 2
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City | COLUMBIA
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State | PA
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Zip | 17512-9003
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Country | US
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Telephone | 717-283-1184
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Fax | 717-481-3207
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Provider Business Mailing Address
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Address Line | 3985 COLUMBIA AVE UNIT 2
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City | COLUMBIA
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State | PA
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Zip | 17512-9003
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Country | US
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Telephone | 717-283-1184
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Fax | 717-481-3207
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. DARRYN JAMES NAYLIN
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Credential | PHARM D
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Telephone | 301-641-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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