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General NPI Number Information
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NPI Number | 1033127501
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Entity Type | Individual
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Provider Name | JOSEPH ANTHONY MARCHESE JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 515 S CASWELL ST
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City | LA GRANGE
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State | NC
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Zip | 28551-2005
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Country | US
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Telephone | 252-566-9616
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Fax | 252-566-4910
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Provider Business Mailing Address
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Address Line | 200 NORTH LESLIE ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-3851
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Country | US
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Telephone | 919-735-0124
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Fax | 919-735-9808
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6241
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License Number State | NC
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