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General NPI Number Information
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NPI Number | 1275791584
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Entity Type | Organization
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Legal Business Name | MICHAEL A MARKS PA
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 9325 GLADES RD SUITE 108
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City | BOCA RATON
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State | FL
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Zip | 33434-3988
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Country | US
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Telephone | 561-488-0263
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Fax | 561-488-0722
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Provider Business Mailing Address
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Address Line | 9325 GLADES RD SUITE 108
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City | BOCA RATON
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State | FL
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Zip | 33434-3988
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Country | US
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Telephone | 561-488-0225
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Fax | 561-488-0722
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL A MARKS
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Credential | DC
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Telephone | 561-488-0225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH5957
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License Number State | FL
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