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General NPI Number Information
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NPI Number | 1295926822
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Entity Type | Individual
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Provider Name | MARZANNA VASINGTON D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 3301 OVERSEAS HWY
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City | MARATHON
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State | FL
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Zip | 33050-2329
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Country | US
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Telephone | 305-434-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 RED RD STE 401
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City | MIRAMAR
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State | FL
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Zip | 33025-6014
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Country | US
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Telephone | 754-400-7496
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 60250498
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS18482
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License Number State | FL
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