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General NPI Number Information
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NPI Number | 1275549073
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Entity Type | Individual
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Provider Name | MARC STUART ERNSTOFF MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 5014 JUDICIAL WAY
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City | FREDERICK
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State | MD
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Zip | 21703-4807
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Country | US
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Telephone | 216-559-6577
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Fax |
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Provider Business Mailing Address
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Address Line | 846 MAIN STREET UNIT 1D
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City | BUFFALO
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State | NY
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Zip | 14202-0001
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Country | US
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Telephone | 216-559-6577
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 138461
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License Number State | NY
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