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General NPI Number Information
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NPI Number | 1669668158
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Entity Type | Organization
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Legal Business Name | ERIC A. MARKS, MD, PA
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 810 HOSPITAL DR SUITE 300
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City | BEAUMONT
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State | TX
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Zip | 77701-4600
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Country | US
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Telephone | 409-835-0905
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Fax | 409-839-4723
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Provider Business Mailing Address
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Address Line | 810 HOSPITAL DR SUITE 300
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City | BEAUMONT
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State | TX
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Zip | 77701-4600
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Country | US
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Telephone | 409-835-0905
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Fax | 409-839-4723
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Authorized Official
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Title or Position | MD
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Name | ERIC MARKS
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Credential | MD
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Telephone | 409-835-0905
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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 | K3325
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License Number State | TX
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