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General NPI Number Information
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NPI Number | 1619036621
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Entity Type | Individual
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Provider Name | ALVA A MARSH MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 3591 E IMPERIAL HWY STE 1
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City | LYNWOOD
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State | CA
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Zip | 90262
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Country | US
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Telephone | 310-631-2838
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Fax | 310-632-4701
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Provider Business Mailing Address
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Address Line | 3591 E IMPERIAL HWY STE 1
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City | LYNWOOD
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State | CA
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Zip | 90262
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Country | US
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Telephone | 310-631-2838
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Fax | 310-632-4701
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C22547
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | C22547
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | C22547
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License Number State | CA
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