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General NPI Number Information
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NPI Number | 1588674956
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Entity Type | Individual
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Provider Name | JAMES JOSEPH MARMORA MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 123 DUNHAMS CORNER RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3532
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Country | US
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Telephone | 732-254-3300
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Fax | 732-651-0822
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Provider Business Mailing Address
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Address Line | PO BOX 95000 LB# 7550
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City | PHILADELPHIA
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State | PA
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Zip | 19195-7550
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Country | US
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Telephone | 944-351-1735
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Fax | 973-290-7495
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA06440100
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License Number State | NJ
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