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Individual
MARK TAY
Active
Individual
MARK TAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30663601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103114278-0001
—
PA
Enumeration date
07/26/2018
Last updated
07/26/2018
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