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General NPI Number Information
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NPI Number | 1780145185
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Entity Type | Individual
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Provider Name | NICHOLAS PAUL MARSHALL MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 453 QUARRY ROAD MC: 5660
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City | PALO ALTO
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State | CA
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Zip | 94304-1419
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Country | US
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Telephone | 650-736-2005
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Fax |
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Provider Business Mailing Address
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Address Line | 453 QUARY ROAD MC: 5660
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City | PALO ALTO
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State | CA
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Zip | 94304
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Country | US
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Telephone | 650-736-2005
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 57.247587
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.143918
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | A184815
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License Number State | CA
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