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General NPI Number Information
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NPI Number | 1790365716
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Entity Type | Individual
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Provider Name | MARCUS LANSING OLIVER DO
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Gender | Male
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2347 S HIGHWAY 17
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City | MURRELLS INLET
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State | SC
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Zip | 29576-7611
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Country | US
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Telephone | 843-357-2443
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Fax | 843-357-2132
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Provider Business Mailing Address
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Address Line | PO BOX 421718
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City | GEORGETOWN
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State | SC
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Zip | 29442-4203
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Country | US
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Telephone | 843-527-7000
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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 | 83586
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License Number State | SC
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