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General NPI Number Information
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NPI Number | 1255854915
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Entity Type | Organization
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Legal Business Name | DR. CHRISTIANA MARRON, PLLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 07/24/2017
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Provider Practice Location Address
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Address Line | 5471 WILES RD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4252
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Country | US
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Telephone | 845-629-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 5471 WILES RD APT 106
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. CHRISTIANA MARRON
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Credential | DPT
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Telephone | 845-629-6122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 31525
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License Number State | FL
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