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General NPI Number Information
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NPI Number | 1205986791
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Entity Type | Individual
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Provider Name | WENDY HELAINE MARX M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 666 LEXINGTON AVE SUITE 206
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3632
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Country | US
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Telephone | 914-666-4742
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Fax | 914-666-4850
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Provider Business Mailing Address
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Address Line | 11 KATONAH CROSSING CT
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City | KATONAH
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State | NY
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Zip | 10536-3735
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Country | US
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Telephone | 914-232-6222
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 190215
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License Number State | NY
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