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General NPI Number Information
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NPI Number | 1023221678
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Entity Type | Organization
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Legal Business Name | MICHAEL L. MARONE, M. D.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 707 WHITE HORSE RD SUITE C105
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City | VOORHEES
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State | NJ
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Zip | 08043-2461
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Country | US
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Telephone | 856-309-9700
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Fax | 856-309-9192
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Provider Business Mailing Address
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Address Line | 707 WHITE HORSE RD SUITE C105
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City | VOORHEES
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State | NJ
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Zip | 08043-2461
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Country | US
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Telephone | 856-309-9700
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Fax | 856-309-9192
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DIANA MARY SOUDER
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Credential |
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Telephone | 856-309-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA02358700
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License Number State | NJ
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