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General NPI Number Information
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NPI Number | 1154473163
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Entity Type | Organization
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Legal Business Name | RONALD E MARSHALL DDS PA
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1410 JOHN B WHITE SR BLVD
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City | SPARTANBURG
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State | SC
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Zip | 29306
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Country | US
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Telephone | 864-574-5297
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 JOHN B WHITE SR BLVD
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City | SPARTANBURG
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State | SC
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Zip | 29306
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Country | US
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Telephone | 864-574-5297
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD EUGENE MARSHALL
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Credential | DDS
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Telephone | 864-574-5297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2197
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License Number State | SC
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