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NPI 1093717621

NPI 1093717621 : MARISA CONTI DO : MILLSBORO, DE

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General NPI Number Information
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    NPI Number           |    1093717621
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    Entity Type          |    Individual 
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    Provider Name        |    MARISA CONTI DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2005
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    32050 LONG NECK RD 
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    City                 |    MILLSBORO
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    State                |    DE
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    Zip                  |    19966-6228
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    Country              |    US
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    Telephone            |    302-645-3150
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    Fax                  |    833-908-2232
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Provider Business Mailing Address
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    Address Line         |    1515 SAVANNAH RD FL 2 
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    City                 |    LEWES
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    State                |    DE
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    Zip                  |    19958-1675
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    Country              |    US
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    Telephone            |    302-645-3499
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    Fax                  |    302-644-4830
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    C2-0008719
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    License Number State |    DE
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