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General NPI Number Information
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NPI Number | 1366841645
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Entity Type | Organization
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Legal Business Name | MARSHALL DENTAL CARE OF VICTOR, PC
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 7375 STATE ROUTE 96 SUITE 200
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City | VICTOR
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State | NY
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Zip | 14564-9725
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Country | US
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Telephone | 585-869-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 7375 SR 96 SUITE 200
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City | VICTOR
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State | NY
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Zip | 14564
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Country | US
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Telephone | 585-869-7735
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WENDY COLLEEN MARSHALL
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Credential |
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Telephone | 585-398-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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