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General NPI Number Information
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NPI Number | 1992038608
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Entity Type | Individual
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Provider Name | DAVID JOSHUA MARCUS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2009
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Last Update Date | 09/13/2009
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Provider Practice Location Address
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Address Line | 974 BROADWAY
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City | THORNWOOD
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State | NY
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Zip | 10594-1139
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Country | US
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Telephone | 914-769-0799
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Fax | 914-769-5011
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Provider Business Mailing Address
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Address Line | 510 E 23RD ST APT #1F
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City | NEW YORK
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State | NY
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Zip | 10010-5012
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Country | US
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Telephone | 646-221-7855
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 050364
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License Number State | NY
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