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General NPI Number Information
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NPI Number | 1689944951
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Entity Type | Individual
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Provider Name | TONI ALICE MARCHESKIE MD
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Gender | Female
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1001 PINE ST
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City | RENOVO
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State | PA
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Zip | 17764-1620
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Country | US
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Telephone | 570-531-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 181 GREENTREE DR FAMILY PRACTICE CENTER
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City | BANGOR
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State | PA
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Zip | 18013-2400
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Country | US
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Telephone | 484-903-1637
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD454003
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD454003
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License Number State | PA
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