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Organization

BIX HOMES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERLINE RAPHAEL CRNP (CRNP)
(845) 641-9412
Entity
Organization

Contact information

Practice address
1318 N 5TH ST, STROUDSBURG, PA 18360
(570) 664-2455
(800) 509-6099
Mailing address
4178 BLUE MOUNTAIN CROSSING, EAST STROUDSBURG, PA 18301
(570) 664-2455
(800) 509-6099

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017091
PA

Other

Enumeration date
03/28/2018
Last updated
06/25/2018
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