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General NPI Number Information
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NPI Number | 1093071342
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Entity Type | Organization
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Legal Business Name | DR. TIMOTHY MARSH, P.C.
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 2339 PROGRESS ST
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City | WEST BRANCH
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State | MI
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Zip | 48661-9384
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Country | US
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Telephone | 989-345-1226
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Fax | 989-345-7702
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Provider Business Mailing Address
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Address Line | 2339 PROGRESS ST
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City | WEST BRANCH
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State | MI
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Zip | 48661-9384
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Country | US
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Telephone | 989-345-1226
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Fax | 989-345-7702
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY R MARSH
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Credential | D.O.
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Telephone | 989-345-1226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 5101012387
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License Number State | MI
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