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General NPI Number Information
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NPI Number | 1336326289
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Entity Type | Organization
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Legal Business Name | MARC W. EATON, PH.D., P.C.
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 1227 ALICE ST
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City | WAYCROSS
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State | GA
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Zip | 31501-4524
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Country | US
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Telephone | 912-283-6629
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Fax | 912-283-5980
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Provider Business Mailing Address
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Address Line | 1227 ALICE ST
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City | WAYCROSS
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State | GA
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Zip | 31501-4524
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Country | US
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Telephone | 912-283-6629
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Fax | 912-283-5980
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARC WELLS EATON
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Credential | PH.D.
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Telephone | 912-283-6629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY000673
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License Number State | GA
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