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General NPI Number Information
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NPI Number | 1588643654
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Entity Type | Individual
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Provider Name | MICHAEL J MARCO D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 720 WASHINGTON ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-5078
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Country | US
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Telephone | 201-659-3379
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Fax | 201-659-1844
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Provider Business Mailing Address
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Address Line | 13 OLD CHESTNUT RIDGE RD
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City | MONTVALE
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State | NJ
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Zip | 07645-1012
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Country | US
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Telephone | 201-391-3132
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Fax | 201-659-1844
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1220
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License Number State | NJ
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