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General NPI Number Information
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NPI Number | 1225078926
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Entity Type | Organization
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Legal Business Name | WILLIAM J MARASCO MD PC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 21 AARONS WAY
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City | YARMOUTH
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State | MA
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Zip | 02673
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Country | US
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Telephone | 508-771-5200
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Fax | 508-771-5202
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Provider Business Mailing Address
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Address Line | 21 AARONS WAY
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City | YARMOUTH
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State | MA
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Zip | 02673
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Country | US
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Telephone | 508-771-5200
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Fax | 508-771-5202
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM J MARASCO
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Credential | M.D.
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Telephone | 508-771-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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