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NPI 1881660512

NPI 1881660512 : DR. MARC FOCA : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1881660512
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    Entity Type          |    Individual 
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    Provider Name        |    DR. MARC FOCA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/23/2006
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    Last Update Date     |    09/15/2016
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Provider Practice Location Address
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    Address Line         |    COLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC 3959 BROADWAY
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032-1132
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    Country              |    US
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    Telephone            |    212-304-7250
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    Fax                  |    212-544-1974
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Provider Business Mailing Address
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    Address Line         |    217 HARRISON AVE 
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    City                 |    JERSEY CITY
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    State                |    NJ
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    Zip                  |    07304-1705
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    Country              |    US
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    Telephone            |    212-304-7250
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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        |    2080P0208X
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    Taxonomy Name        |    Pediatric Infectious Diseases Physician
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    License Number       |    210297
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207PP0204X
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    Taxonomy Name        |    Pediatric Emergency Medicine (Emergency Medicine) Physician
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    License Number       |    210297
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    License Number State |    NY
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