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General NPI Number Information
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NPI Number | 1023420775
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Entity Type | Organization
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Legal Business Name | RALPH E. MARCUS, D.O. P.A
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 8600 SW 92ND ST #201
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City | MIAMI
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State | FL
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Zip | 33156-7397
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Country | US
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Telephone | 305-232-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 10025 SW 94TH CT
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City | MIAMI
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State | FL
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Zip | 33176-3076
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RALPH E. MARCUS
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Credential |
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Telephone | 305-232-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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