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General NPI Number Information
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NPI Number | 1295980837
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Entity Type | Organization
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Legal Business Name | MARION CARDIOLOGY,INC.
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 1051 HARDING MEMORIAL PKWY STE A
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City | MARION
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State | OH
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Zip | 43302-6347
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Country | US
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Telephone | 740-382-6900
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Fax | 740-387-0577
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Provider Business Mailing Address
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Address Line | 1051 HARDING MEMORIAL PKWY STE A
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City | MARION
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State | OH
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Zip | 43302-6347
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Country | US
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Telephone | 740-382-6900
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Fax | 740-387-0577
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAYANK K SHAH
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Credential | M.D.
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Telephone | 740-382-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35063565
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License Number State | OH
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