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General NPI Number Information
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NPI Number | 1841696515
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Entity Type | Individual
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Provider Name | ROBERT FELTON MARSHALL
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Gender | Male
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 2450 ORO DAM BLVD E
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City | OROVILLE
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State | CA
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Zip | 95966-6052
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Country | US
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Telephone | 530-712-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 3264 OAK FARM LN
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City | SANTA ROSA
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State | CA
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Zip | 95401-4046
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Country | US
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Telephone | 707-477-6446
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA52853
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License Number State | CA
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