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General NPI Number Information
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NPI Number | 1801155742
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Entity Type | Individual
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Provider Name | STEPHEN M MARBUT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2012
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 5 MOBILE INFIRMARY CIR
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City | MOBILE
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State | AL
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Zip | 36607-3513
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Country | US
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Telephone | 251-435-3343
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91498
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City | MOBILE
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State | AL
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Zip | 36691-1498
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Country | US
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Telephone | 251-460-0326
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Fax | 251-460-2846
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 33164
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 33164
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License Number State | AL
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