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General NPI Number Information
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NPI Number | 1285773465
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Entity Type | Organization
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Legal Business Name | RONALD M MARINI DMD PA
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 2921 S ORLANDO DR SUITE 146
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City | SANFORD
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State | FL
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Zip | 32773-4103
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Country | US
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Telephone | 407-322-9992
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Fax | 407-322-4415
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Provider Business Mailing Address
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Address Line | 1495 STELLAR DR
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City | OVIEDO
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State | FL
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Zip | 32765-9685
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Country | US
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Telephone | 407-365-3817
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD MICHAEL MARINI
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Credential | D.M.D.
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Telephone | 407-322-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN8441
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License Number State | FL
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