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General NPI Number Information
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NPI Number | 1265324933
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Entity Type | Individual
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Provider Name | NICHOLAS C MARSHOCK DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 5285 RED BUG LAKE RD STE 105
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4973
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Country | US
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Telephone | 848-210-6312
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Fax |
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Provider Business Mailing Address
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Address Line | 4352 LEAFWAY CIR
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City | LEESBURG
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State | FL
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Zip | 34748-7826
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Country | US
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Telephone | 848-210-6312
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30682
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License Number State | FL
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