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General NPI Number Information
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NPI Number | 1669531927
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Entity Type | Individual
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Provider Name | RALPH MARCUS D.O.
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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 | 07/08/2007
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Provider Practice Location Address
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Address Line | 9000 S.W. 87 CT. #214
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-232-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 S.W. 87 COURT SUITE #214
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-232-6565
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS0003677
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License Number State | FL
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