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General NPI Number Information
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NPI Number | 1033893284
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Entity Type | Individual
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Provider Name | MARCO I MIRNICS DPT
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Gender | Male
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1585 3RD ST
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City | FORT JOHNSON
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State | LA
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Zip | 71459-5102
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Country | US
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Telephone | 615-609-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 1585 3RD ST
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City | FORT JOHNSON
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State | LA
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Zip | 71459-5102
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Country | US
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Telephone | 615-609-1424
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305215674
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License Number State | VA
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