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General NPI Number Information
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NPI Number | 1255518296
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Entity Type | Individual
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Provider Name | CAROL MARINO D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 201 OLD BANK RD SUITE 103
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City | MILFORD
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State | OH
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Zip | 45150-2416
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Country | US
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Telephone | 513-248-0100
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Fax | 513-248-4334
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Provider Business Mailing Address
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Address Line | 201 OLD BANK RD SUITE 103
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City | MILFORD
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State | OH
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Zip | 45150-2416
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Country | US
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Telephone | 513-248-0100
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Fax | 513-248-4334
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5751
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License Number State | OH
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