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Individual
MR. MARK L ELGART
Active
Individual
MR. MARK L ELGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141350005
MEDICARE PTAN
—
01
—
14317
PARTNERS
—
05
—
7700566
—
NC
05
—
7701450
—
NC
05
—
7795076
—
NC
Enumeration date
09/21/2006
Last updated
01/11/2012
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