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General NPI Number Information
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NPI Number | 1992788202
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Entity Type | Individual
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Provider Name | MARIE CLAIRE CARLIN MD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 OFFICE CENTER DR SUITE 195
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City | FT WASHINGTON
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State | PA
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Zip | 19034-3220
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Country | US
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Telephone | 215-836-7900
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Fax | 215-836-0119
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Provider Business Mailing Address
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Address Line | 501 OFFICE CENTER DR SUITE 195
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City | FT WASHINGTON
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State | PA
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Zip | 19034-3220
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Country | US
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Telephone | 215-836-7900
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Fax | 215-836-0119
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD037823E
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License Number State | PA
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