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General NPI Number Information
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NPI Number | 1053365189
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Entity Type | Individual
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Provider Name | ROBERT J MARSHALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE STE 700
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4401
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Country | US
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Telephone | 301-656-5050
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Fax | 301-654-4237
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Provider Business Mailing Address
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Address Line | 5530 WISCONSIN AVE STE 700
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4401
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Country | US
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Telephone | 301-656-5050
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Fax | 301-654-4237
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0056379
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License Number State | MD
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