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General NPI Number Information
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NPI Number | 1295750578
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Entity Type | Individual
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Provider Name | VIJAY R MARWAHA MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 750 ROUTE 73 S STE 309
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City | MARLTON
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State | NJ
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Zip | 08053-4141
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Country | US
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Telephone | 856-872-3636
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Fax | 856-872-3606
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Provider Business Mailing Address
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Address Line | 750 ROUTE 73 S STE 309A
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City | MARLTON
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State | NJ
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Zip | 08053-4191
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Country | US
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Telephone | 856-872-3636
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Fax | 856-872-3606
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD449336
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD449336
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101232797
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA08624500
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License Number State | NJ
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