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General NPI Number Information
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NPI Number | 1053460220
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Entity Type | Organization
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Legal Business Name | M JEFFREY MARCUS MD FACS PA
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 821 MEDICAL CT E
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City | INVERNESS
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State | FL
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Zip | 34452-4623
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Country | US
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Telephone | 352-726-3131
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Fax | 888-491-4367
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Provider Business Mailing Address
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Address Line | 821 MEDICAL CT E
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City | INVERNESS
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State | FL
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Zip | 34452-4623
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Country | US
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Telephone | 352-726-3131
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Fax | 352-726-7202
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Authorized Official
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Title or Position | MEDICAL PHYSICIAN
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Name | M JEFFREY MARCUS
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Credential |
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Telephone | 352-726-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | ME20810
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License Number State | FL
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