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General NPI Number Information
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NPI Number | 1275373037
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Entity Type | Organization
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Legal Business Name | MARAN HEALTHCARE LLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 62 MACON ST STE 5
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City | MCDONOUGH
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State | GA
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Zip | 30253-3221
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Country | US
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Telephone | 470-220-0621
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Fax | 229-485-1588
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Provider Business Mailing Address
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Address Line | 1203 WALKER CT
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City | MCDONOUGH
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State | GA
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Zip | 30252-8556
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Country | US
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Telephone | 470-220-0621
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Fax | 229-485-1588
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | MARILYN ELIZABETH RANKIN
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Credential | NP
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Telephone | 216-212-8779
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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