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General NPI Number Information
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NPI Number | 1285647636
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Entity Type | Individual
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Provider Name | STEVEN ANDREW MARSHALICK PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 1401 BETHLEHEM PIKE
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City | FLOURTOWN
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State | PA
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Zip | 19031-1904
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Country | US
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Telephone | 215-233-1001
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Fax | 215-233-9749
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Provider Business Mailing Address
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Address Line | 228 CARDINAL DR
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1393
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Country | US
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Telephone | 610-825-7279
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA000076L
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License Number State | PA
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