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General NPI Number Information
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NPI Number | 1891813168
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Entity Type | Individual
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Provider Name | DR. DAVID THOMAS MARRON
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 179 AVENUE AT THE CMN STRE 5
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4804
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Country | US
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Telephone | 732-542-1272
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Fax | 732-542-2315
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Provider Business Mailing Address
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Address Line | PO BOX 316
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City | OAKHURST
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State | NJ
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Zip | 07755-0316
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Country | US
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Telephone | 732-660-1115
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Fax | 732-660-1152
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MC02679
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License Number State | NJ
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