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General NPI Number Information
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NPI Number | 1487644639
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Entity Type | Individual
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Provider Name | ANNE-MARIE MARCOUX M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 04/21/2008
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Provider Practice Location Address
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Address Line | 1203 LANGHORNE NEWTOWN RD SUITE 130
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City | LANGHORNE
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State | PA
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Zip | 19047-1233
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Country | US
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Telephone | 215-741-4910
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Fax | 215-741-4394
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Provider Business Mailing Address
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Address Line | 1203 LANGHORNE NEWTOWN RD SUITE 130
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City | LANGHORNE
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State | PA
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Zip | 19047-1233
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Country | US
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Telephone | 215-741-4910
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Fax | 215-741-4394
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | MD043858E
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License Number State | PA
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