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General NPI Number Information
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NPI Number | 1427057397
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Entity Type | Individual
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Provider Name | M JEFFREY MARCUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 821 MEDICAL CT E
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City | INVERNESS
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State | FL
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Zip | 34452-4623
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Country | US
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Telephone | 352-726-3131
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Fax | 888-491-4367
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Provider Business Mailing Address
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Address Line | 821 MEDICAL CT E
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City | INVERNESS
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State | FL
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Zip | 34452-4623
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Country | US
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Telephone | 352-726-3131
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Fax | 888-491-4367
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | ME20810
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | ME20810
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License Number State | FL
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