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General NPI Number Information
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NPI Number | 1902761984
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Entity Type | Organization
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Legal Business Name | CENTER FOR SPECIALTY CARE
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 888 GLENBROOK AVE STE 100A
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City | BRYN MAWR
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State | PA
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Zip | 19010-2506
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Country | US
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Telephone | 917-902-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 225 W 34TH ST FL 9 STE 073
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City | NEW YORK
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State | NY
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Zip | 10122
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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 | PRINCIPAL
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Name | MARC MERMELSTEIN
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Credential |
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Telephone | 917-902-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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