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General NPI Number Information
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NPI Number | 1124216734
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Entity Type | Organization
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Legal Business Name | MARC J. DILORENZO M.D., P.A.
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 1731 SW 2ND AVE SUITE A
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City | OCALA
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State | FL
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Zip | 34471-8179
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Country | US
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Telephone | 352-732-5550
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Fax | 352-369-6687
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Provider Business Mailing Address
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Address Line | 1731 SW 2ND AVE SUITE A
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City | OCALA
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State | FL
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Zip | 34471-8179
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Country | US
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Telephone | 352-732-5550
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Fax | 352-369-6687
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Authorized Official
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Title or Position | OFFICE/BILLING MANAGER
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Name | MRS. RHONDA L POSEY
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Credential |
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Telephone | 352-732-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | ME0045390
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License Number State | FL
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