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General NPI Number Information
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NPI Number | 1518137330
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Entity Type | Individual
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Provider Name | MARSHALL J DYKE
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Gender | Male
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 8333 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77036-6853
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Country | US
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Telephone | 713-776-9904
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Fax | 713-776-9946
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Provider Business Mailing Address
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Address Line | 15000 MANSIONS VIEW DR APT 702
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City | CONROE
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State | TX
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Zip | 77384-4343
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Country | US
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Telephone | 936-232-0440
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D1619
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License Number State | TX
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