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General NPI Number Information
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NPI Number | 1295890887
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Entity Type | Organization
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Legal Business Name | MARINACCI MEDICAL LABORATORY INC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 830 E MAIN ST MARINACCI MEDICAL LABORATORY INC
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City | LANCASTER
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State | OH
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Zip | 43130-3939
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Country | US
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Telephone | 740-653-6672
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Fax | 740-653-2364
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Provider Business Mailing Address
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Address Line | 830 E MAIN ST MARINACCI MEDICAL LABORATORY INC
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-653-6672
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Fax | 740-653-2364
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Authorized Official
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Title or Position | DIRECTOR
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Name | NICK MARINACCI
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Credential | MT ASCP BLD AAB
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Telephone | 740-653-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 36DO328467
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License Number State | OH
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