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General NPI Number Information
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NPI Number | 1265601785
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Entity Type | Organization
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Legal Business Name | MARRIT ENTERPRISES CORP
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 686 N HUNT CLUB BLVD STE 140
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City | LONGWOOD
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State | FL
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Zip | 32779-2218
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Country | US
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Telephone | 407-691-3000
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Fax | 407-691-3003
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Provider Business Mailing Address
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Address Line | 686 N HUNT CLUB BLVD STE 140
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City | LONGWOOD
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State | FL
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Zip | 32779-2218
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Country | US
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Telephone | 407-691-3000
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Fax | 407-691-3003
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARCEL V NEESEN
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Credential | PT
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Telephone | 407-691-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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