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General NPI Number Information
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NPI Number | 1811195589
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Entity Type | Individual
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Provider Name | ROBERT LEE MARX JR. PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2300 GRIFFIN RD
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City | LAKELAND
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State | FL
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Zip | 33810-6760
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Country | US
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Telephone | 615-970-2773
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Fax |
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Provider Business Mailing Address
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Address Line | 2552 CREWS LAKE HILLS LOOP N
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City | LAKELAND
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State | FL
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Zip | 33813-3861
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Country | US
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Telephone | 615-970-2773
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH020499
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS40867
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License Number State | FL
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