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General NPI Number Information
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NPI Number | 1841228947
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Entity Type | Individual
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Provider Name | ERIC CORNELIUS MARSHALL MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1160 VARNUM ST NE SUITE 117
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City | WASHINGTON
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State | DC
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Zip | 20017
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Country | US
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Telephone | 202-832-7007
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Fax | 240-425-4636
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Provider Business Mailing Address
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Address Line | 1160 VARNUM ST NE STE 117
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City | WASHINGTON
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State | DC
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Zip | 20017-2106
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Country | US
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Telephone | 202-607-5298
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Fax | 202-330-5356
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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 | 0101263962
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29364
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2018032594
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 277082
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M49221
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01079991B
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5135091205
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 133474
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License Number State | AK
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME133323
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CS0112180
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License Number State | DC
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