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General NPI Number Information
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NPI Number | 1033329586
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Entity Type | Individual
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Provider Name | ROBERT LEE MARCUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1576 MERRITT BLVD SUITE 15
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City | BALTIMORE
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State | MD
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Zip | 21222-2132
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Country | US
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Telephone | 410-285-8787
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Fax | 410-282-3579
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Provider Business Mailing Address
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Address Line | P.O. BOX 3907
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City | BALTIMORE
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State | MD
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Zip | 21224-0807
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Country | US
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Telephone | 410-285-8787
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Fax | 410-282-3579
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | D0006997
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License Number State | MD
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