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General NPI Number Information
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NPI Number | 1861808438
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Entity Type | Organization
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Legal Business Name | RICHARD A. MARKS,M.D.P.A
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 07/03/2014
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Provider Practice Location Address
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Address Line | 399 W CAMPBELL RD #408
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City | RICHARDSON
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State | TX
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Zip | 75080-3595
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Country | US
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Telephone | 972-231-7100
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Fax | 972-231-7759
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Provider Business Mailing Address
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Address Line | 399 W. CAMPBELL RD #408
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City | RICHARDSON
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State | TX
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Zip | 75080
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Country | US
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Telephone | 972-231-7100
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Fax | 972-231-7759
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD ALAN MARKS
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Credential | M.D.
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Telephone | 972-231-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E5161
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License Number State | TX
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