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General NPI Number Information
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NPI Number | 1740433325
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Entity Type | Organization
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Legal Business Name | MARCUS H LOO MD LLC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 254 CANAL ST SUITE 3001
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City | NEW YORK
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State | NY
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Zip | 10013-3501
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Country | US
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Telephone | 212-925-8388
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Fax | 212-941-7426
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Provider Business Mailing Address
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Address Line | 254 CANAL ST SUITE 3001
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City | NEW YORK
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State | NY
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Zip | 10013-3501
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Country | US
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Telephone | 212-925-8388
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Fax | 212-941-7426
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Authorized Official
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Title or Position | CEO
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Name | DR. MARCUS H LOO
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Credential | M.D.
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Telephone | 212-925-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 159685
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License Number State | NY
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