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General NPI Number Information
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NPI Number | 1912352717
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Entity Type | Individual
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Provider Name | FRANK MIRARCHI PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 1400 BLACKHORSE HILL RD
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City | COATESVILLE
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State | PA
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Zip | 19320-2040
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Country | US
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Telephone | 610-384-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 133 LANDENBERG RD
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City | LANDENBERG
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State | PA
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Zip | 19350-9301
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Country | US
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Telephone | 215-803-4643
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS018033
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS018033
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License Number State | PA
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