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General NPI Number Information
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NPI Number | 1104840669
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Entity Type | Individual
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Provider Name | BARRY LEROY MARKS DC
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1745 W ORANGEWOOD AVE #114
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City | ORANGE
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State | CA
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Zip | 92868
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Country | US
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Telephone | 714-938-0575
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Fax | 714-938-1276
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Provider Business Mailing Address
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Address Line | 1745 W ORANGEWOOD AVE STE 114
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City | ORANGE
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State | CA
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Zip | 92868-2004
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Country | US
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Telephone | 714-938-0575
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Fax | 714-938-1276
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC17706
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License Number State | CA
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