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General NPI Number Information
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NPI Number | 1194934299
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Entity Type | Individual
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Provider Name | JOSHUA AARON MARKS MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 1100 WALNUT ST SUITE 500
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-6996
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Fax | 215-955-6010
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Provider Business Mailing Address
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Address Line | 1100 WALNUT ST STE 702
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-6996
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Fax | 215-955-6010
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD428722
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD428722
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License Number State | PA
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