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General NPI Number Information
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NPI Number | 1043302797
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Entity Type | Individual
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Provider Name | ARTHUR S MARIANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 3625 STATE ROAD 60 E
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City | VALRICO
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State | FL
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Zip | 33594-3586
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Country | US
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Telephone | 813-661-2525
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Fax | 813-651-0591
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Provider Business Mailing Address
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Address Line | 3625 STATE ROAD 60 E
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City | VALRICO
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State | FL
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Zip | 33594-3586
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Country | US
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Telephone | 813-661-2525
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Fax | 813-651-0591
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME28133
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License Number State | FL
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