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General NPI Number Information
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NPI Number | 1326503632
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Entity Type | Organization
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Legal Business Name | ANDRE P. MARSHALL, MD INC
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 435 N BEDFORD DR STE 206
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4350
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Country | US
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Telephone | 424-437-3200
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Fax | 424-328-5898
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Provider Business Mailing Address
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Address Line | 435 N BEDFORD DR STE 206
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4350
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Country | US
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Telephone | 424-437-3200
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Fax | 424-328-5898
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ANDRE MARSHALL
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Credential | MD
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Telephone | 615-775-5790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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