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General NPI Number Information
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NPI Number | 1487693545
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Entity Type | Individual
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Provider Name | RICHARD WILLIAM MARCUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 3333 RIVERBEND DR SLEEP DISORDER CENTER
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City | SPRINGFIELD
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State | OR
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Zip | 97477-8800
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Country | US
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Telephone | 541-222-2402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24410
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City | EUGENE
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State | OR
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Zip | 97402-0451
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Country | US
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Telephone |
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD27166
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD27166
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License Number State | OR
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