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General NPI Number Information
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NPI Number | 1063608362
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Entity Type | Organization
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Legal Business Name | ALAN J MARCUS DO PA
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 415 US HIGHWAY 1 STE D
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City | LAKE PARK
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State | FL
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Zip | 33403-3585
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Country | US
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Telephone | 561-845-8333
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Fax | 561-863-5432
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Provider Business Mailing Address
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Address Line | 750 OCEAN ROYALE WAY APT 1102
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City | JUNO BEACH
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State | FL
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Zip | 33408-1340
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Country | US
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Telephone | 561-845-0833
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Fax | 561-863-5432
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Authorized Official
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Title or Position | PHYSCIAN
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Name | DR. ALAN J MARCUS
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Credential | DO
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Telephone | 561-845-0833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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