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General NPI Number Information
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NPI Number | 1952729964
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Entity Type | Individual
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Provider Name | DR. JOSEPH ANTHONY MARASCIO
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 200 BOWMAN DR STE 190
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City | VOORHEES
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State | NJ
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Zip | 08043-9623
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Country | US
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Telephone | 568-247-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 52 E MAIN ST APT 302
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City | MARLTON
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State | NJ
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Zip | 08053-2141
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Country | US
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Telephone | 610-999-2619
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD475020
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 83184
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA11182000
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License Number State | NJ
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