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General NPI Number Information
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NPI Number | 1760642730
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Entity Type | Individual
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Provider Name | MARVIN A CETEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 651 ROUTE 73 N STE 406
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City | MARLTON
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State | NJ
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Zip | 08053-3452
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Country | US
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Telephone | 856-596-1872
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Fax | 856-596-9430
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Provider Business Mailing Address
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Address Line | 651 ROUTE 73 N STE 406
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City | MARLTON
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State | NJ
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Zip | 08053-3452
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Country | US
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Telephone | 856-596-1872
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Fax | 856-596-9430
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA03900700
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License Number State | NJ
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