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NPI 1982680740

NPI 1982680740 : DONALD SCOTT MARKS M.D. : PLYMOUTH, MA

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General NPI Number Information
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    NPI Number           |    1982680740
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    Entity Type          |    Individual 
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    Provider Name        |    DONALD SCOTT MARKS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/22/2005
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    Last Update Date     |    01/14/2011
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Provider Practice Location Address
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    Address Line         |    45 RESNIK RD SUITE 205
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    City                 |    PLYMOUTH
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    State                |    MA
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    Zip                  |    02360-4844
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    Country              |    US
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    Telephone            |    508-746-5060
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    Fax                  |    508-746-8060
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Provider Business Mailing Address
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    Address Line         |    45 RESNIK RD SUITE 205
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    City                 |    PLYMOUTH
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    State                |    MA
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    Zip                  |    02360-4844
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    Country              |    US
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    Telephone            |    508-746-5060
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    Fax                  |    508-746-8060
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    51291
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    License Number State |    MA
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