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General NPI Number Information
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NPI Number | 1689347957
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Entity Type | Organization
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Legal Business Name | MARVEL SPECIALITY CARE SERVICES INC
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Dates
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Enumeration Date | 07/31/2021
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 8232 W CHESTER PIKE
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City | UPPER DARBY
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State | PA
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Zip | 19082-2723
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Country | US
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Telephone | 610-789-2700
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Fax | 610-789-1865
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Provider Business Mailing Address
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Address Line | 8232 W CHESTER PIKE
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City | UPPER DARBY
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State | PA
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Zip | 19082-2723
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Country | US
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Telephone | 610-789-2700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAYEKHUL ISLAM
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Credential |
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Telephone | 610-789-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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