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General NPI Number Information
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NPI Number | 1104070820
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Entity Type | Individual
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Provider Name | BAPTISTE S MARINO MD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 9723 NORTHEAST PKWY STE 100
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City | MATTHEWS
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State | NC
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Zip | 28105-9719
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Country | US
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Telephone | 980-262-3007
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Fax | 980-262-3528
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Provider Business Mailing Address
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Address Line | PO BOX 1707
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City | MATTHEWS
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State | NC
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Zip | 28106-1707
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Country | US
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Telephone | 336-240-3500
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Fax | 877-546-5252
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 34079
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34079
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34079
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 34079
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 34079
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 34079
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 34079
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License Number State | NC
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