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General NPI Number Information
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NPI Number | 1134199912
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Entity Type | Individual
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Provider Name | EUGENIA MARCUS MD
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Gender | Female
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 12/08/2019
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Provider Practice Location Address
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Address Line | 422 WORCESTER ST
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-5341
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Country | US
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Telephone | 781-997-9737
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 COMMONWEALTH AVE
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City | NEWTON
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State | MA
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Zip | 02465-2800
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Country | US
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Telephone | 617-686-1003
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 32752
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 32752
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License Number State | MA
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