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General NPI Number Information
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NPI Number | 1356307136
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Entity Type | Individual
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Provider Name | HOWARD MARX MD
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 2090 WOODLYN AVE.
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City | PASADENA
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State | CA
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Zip | 91104
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Country | US
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Telephone | 626-398-7642
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 WOODLYN AVE.
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City | PASADENA
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State | CA
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Zip | 91104
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G48962
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G48962
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License Number State | CA
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