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General NPI Number Information
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NPI Number | 1154688927
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Entity Type | Organization
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Legal Business Name | MARANA HEALTH CENTER INC
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 899 N WILMOT RD STE B
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City | TUCSON
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State | AZ
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Zip | 85711-1712
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Country | US
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Telephone | 520-616-1572
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Fax | 520-616-1573
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | MARANA
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State | AZ
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Zip | 85653-0188
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Country | US
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Telephone | 520-616-1572
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Fax | 520-616-1573
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA B CARZOLI
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Credential | PHARMD
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Telephone | 520-682-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | OTC5399
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License Number State | AZ
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