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General NPI Number Information
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NPI Number | 1487858569
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Entity Type | Individual
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Provider Name | JEFFREY COLLINS MARKHAM MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 3305 CORINTH PKWY
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City | CORINTH
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State | TX
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Zip | 76208-5380
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Country | US
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Telephone | 877-887-1784
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Fax | 877-682-5167
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Provider Business Mailing Address
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Address Line | P O BOX 362
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City | COPPELL
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State | TX
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Zip | 75019-0362
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Country | US
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Telephone | 877-887-1784
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Fax | 877-682-5167
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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 | C143222
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License Number State | CA
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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 | M5352
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License Number State | TX
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