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General NPI Number Information
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NPI Number | 1073511317
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Entity Type | Individual
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Provider Name | JACQUELINE ANN MARCIN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 1820 E MARKET ST
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City | YORK
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State | PA
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Zip | 17402-2835
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Country | US
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Telephone | 717-757-3851
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Fax | 717-840-1672
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Provider Business Mailing Address
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Address Line | 1820 E MARKET ST
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City | YORK
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State | PA
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Zip | 17402-2835
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Country | US
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Telephone | 717-757-3851
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Fax | 717-840-1672
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D5025765L
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License Number State | PA
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