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General NPI Number Information
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NPI Number | 1184750499
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Entity Type | Organization
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Legal Business Name | MICHAEL G. MARWICK D.D.S., MONICA KARGL MARWICK, D.D.S., P.C.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 PORTER RD SUITE 105
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City | POTTSTOWN
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State | PA
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Zip | 19464-3240
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Country | US
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Telephone | 610-327-1175
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PORTER RD SUITE 105
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City | POTTSTOWN
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State | PA
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Zip | 19464-3240
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Country | US
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Telephone | 610-327-1175
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MONICA KARGL MARWICK
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Credential | D.D.S.
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Telephone | 610-970-7097
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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 | DS-024290-L
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License Number State | PA
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