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General NPI Number Information
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NPI Number | 1427128826
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Entity Type | Individual
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Provider Name | DAVID B. MARSHALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 100 HILTON AVE APT 905
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City | GARDEN CITY
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State | NY
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Zip | 11530-1564
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Country | US
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Telephone | 516-746-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HILTON AVE APT 905
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City | GARDEN CITY
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State | NY
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Zip | 11530-1564
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Country | US
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Telephone | 516-746-0670
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA10960400
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License Number State | NJ
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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 | 139299
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License Number State | NY
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