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General NPI Number Information
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NPI Number | 1003345232
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Entity Type | Organization
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Legal Business Name | MARC MANZIONE MD LLC
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Dates
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Enumeration Date | 06/10/2017
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Last Update Date | 06/10/2017
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Provider Practice Location Address
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Address Line | 2600 PHILMONT AVE STE 119
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5307
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Country | US
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Telephone | 570-366-5112
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 349
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City | ORWIGSBURG
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State | PA
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Zip | 17961-0349
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Country | US
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Telephone | 570-366-5112
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARC MANZIONE
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Credential | MD
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Telephone | 570-366-5112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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