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General NPI Number Information
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NPI Number | 1073645826
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Entity Type | Organization
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Legal Business Name | MARION SURGICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1708 LOCUST AVE STE 102
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City | FAIRMONT
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State | WV
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Zip | 26554-1332
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Country | US
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Telephone | 304-366-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 LOCUST AVE STE 102
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City | FAIRMONT
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State | WV
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Zip | 26554-1332
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Country | US
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Telephone | 304-366-0346
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M MCLELLAN
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Credential | MD
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Telephone | 304-363-5799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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