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NPI Code Detail

MEDICARE: MR. MARK BINOWSKI

MEDICARE: MR. MARK BINOWSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1104954718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK BINOWSKI
Provider Business Mailing Address
First Line : 531 KNOTTS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-3043
Country : US
Telephone Number : 661-325-1817
Fax Number : 661-325-3929
Provider Business Practice Location Address
First Line : 531 KNOTTS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-3043
Country : US
Telephone Number : 661-325-1817
Fax Number : 661-325-3929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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Directions to “ MR. MARK BINOWSKI ” Practice Location

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