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General NPI Number Information
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NPI Number | 1063447613
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Entity Type | Individual
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Provider Name | MELISSA MARKS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 1 WASHINGTON RD
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City | PRINCETON
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State | NJ
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Zip | 08544-2002
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Country | US
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Telephone | 609-258-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WASHINGTON RD
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City | PRINCETON
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State | NJ
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Zip | 08544-2002
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Country | US
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Telephone | 609-258-3141
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D59148
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA10992800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D59148
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License Number State | MD
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