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General NPI Number Information
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NPI Number | 1417286873
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Entity Type | Organization
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Legal Business Name | NOLAN MARX M.D.P.C.
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 999 CENTRAL AVE SUITE 205
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City | WOODMERE
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State | NY
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Zip | 11598-1205
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Country | US
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Telephone | 516-295-3840
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Fax | 516-295-0163
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Provider Business Mailing Address
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Address Line | 999 CENTRAL AVE SUITE 205
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City | WOODMERE
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State | NY
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Zip | 11598-1205
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Country | US
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Telephone | 516-295-3840
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Fax | 516-295-0163
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NOALN J MARX
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Credential | M.D.
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Telephone | 516-295-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 91835
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License Number State | NY
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