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General NPI Number Information
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NPI Number | 1891781183
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Entity Type | Organization
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Legal Business Name | MARC S CARP PL
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 1400 NE MIAMI GARDENS DR STE 221
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4844
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Country | US
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Telephone | 305-949-2020
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Fax | 305-949-6715
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Provider Business Mailing Address
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Address Line | PO BOX 848593
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City | BOSTON
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State | MA
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Zip | 02284-8593
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Country | US
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Telephone | 305-468-4180
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Fax | 305-595-1013
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Authorized Official
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Title or Position | EMPLOYEE
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Name | DR. MARC S CARP
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Credential | MD
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Telephone | 305-949-2020
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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 | 0038332
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License Number State | FL
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