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General NPI Number Information
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NPI Number | 1891932596
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Entity Type | Individual
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Provider Name | MARC RYAN IQBAL MD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 5606 BEAR RD
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City | SYRACUSE
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State | NY
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Zip | 13212-1648
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Country | US
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Telephone | 315-414-6332
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Fax | 315-314-6920
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Provider Business Mailing Address
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Address Line | 5606 BEAR RD
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City | SYRACUSE
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State | NY
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Zip | 13212-1648
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Country | US
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Telephone | 315-414-6332
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Fax | 315-314-6920
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD29180
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 265041
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 265041
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD29180
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License Number State | ME
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