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General NPI Number Information
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NPI Number | 1194311977
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Entity Type | Individual
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Provider Name | MARCELO ORIAS MD
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Gender | Male
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 260 LONG RIDGE RD
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City | STAMFORD
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State | CT
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Zip | 06902-1638
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Country | US
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Telephone | 877-925-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 56 NOB HILL RD
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City | CHESHIRE
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State | CT
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Zip | 06410-1708
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Country | US
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Telephone | 203-272-7088
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 32505
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License Number State | CT
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