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NPI 1063694495

NPI 1063694495 : MARLON FRANCIS RPH : WEST PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1063694495
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    Entity Type          |    Individual 
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    Provider Name        |    MARLON FRANCIS RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/27/2007
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    Last Update Date     |    09/16/2011
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Provider Practice Location Address
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    Address Line         |    9921 OKEECHOBEE BLVD 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33411-1899
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    Country              |    US
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    Telephone            |    561-793-6694
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    651 OKEECHOBEE BLVD #207
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33401-6060
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    Country              |    US
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    Telephone            |    347-276-1703
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    051473
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PS43543
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    License Number State |    FL
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