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General NPI Number Information
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NPI Number | 1871555763
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Entity Type | Individual
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Provider Name | JUDITH ANN MUELLER PAC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 2250 E MARKET ST
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City | YORK
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State | PA
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Zip | 17402-2857
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Country | US
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Telephone | 717-851-1600
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Fax | 717-812-5183
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Provider Business Mailing Address
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Address Line | 1803 MOUNT ROSE AVE SUITE B3
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City | YORK
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State | PA
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Zip | 17403-3026
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA052408
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA052408
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License Number State | PA
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