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Individual
MARC T WASHINGTON
Active
Individual
MARC T WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015798
NY
363A00000X
Physician Assistant
Primary
PA1728
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02993882
—
NY
05
—
1689926693
—
NV
Enumeration date
10/15/2012
Last updated
09/28/2017
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