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General NPI Number Information
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NPI Number | 1134719693
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Entity Type | Organization
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Legal Business Name | MARCIANA GROUP
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 16759 DIAMONTE PATH
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City | LAKEVILLE
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State | MN
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Zip | 55044-6154
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Country | US
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Telephone | 651-398-4968
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Fax |
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Provider Business Mailing Address
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Address Line | 2136 FORD PKWY STE 5000
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City | SAINT PAUL
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State | MN
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Zip | 55116-2850
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Country | US
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Telephone | 651-505-6807
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | KIMBERLY MILLER
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Credential |
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Telephone | 248-331-7908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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