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General NPI Number Information
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NPI Number | 1831355353
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Entity Type | Organization
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Legal Business Name | TIMOTHY L MARSHALL, M.D., P.C.
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 424 N MAIN ST SUITE 3
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City | SUFFOLK
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State | VA
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Zip | 23434-4428
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Country | US
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Telephone | 757-539-6801
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Fax | 757-539-1227
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Provider Business Mailing Address
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Address Line | 424 N MAIN ST SUITE 3
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City | SUFFOLK
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State | VA
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Zip | 23434-4428
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Country | US
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Telephone | 757-539-6801
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Fax | 757-539-1227
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. TIMOTHY LEROY MARSHALL
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Credential | M.D.
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Telephone | 757-539-6801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101029169
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License Number State | VA
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