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General NPI Number Information
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NPI Number | 1417984626
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Entity Type | Individual
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Provider Name | JASON MARX M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 890 W FARIS RD STE 580
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City | GREENVILLE
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State | SC
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Zip | 29605-4281
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Country | US
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Telephone | 864-455-7874
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Fax | 864-455-8933
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE STE 300
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City | GREENVILLE
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State | SC
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Zip | 29601-2899
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Country | US
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Telephone | 864-522-8611
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | D0053464
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D53464
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | D0053464
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 93984
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License Number State | SC
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