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General NPI Number Information
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NPI Number | 1427287564
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Entity Type | Individual
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Provider Name | MICHAEL MARCHESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2009
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 701 N BROADWAY PHELPS MEMORIAL HOSPITAL CENTER
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-366-1179
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Fax | 914-366-1657
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Provider Business Mailing Address
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Address Line | 701 N BROADWAY PHELPS MEMORIAL HOSPITAL CENTER
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-366-1179
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Fax | 914-366-1657
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 279861-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 279861-1
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License Number State | NY
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