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General NPI Number Information
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NPI Number | 1366226615
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Entity Type | Organization
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Legal Business Name | DOMINIC MARANO LLC
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 124 SHREWSBURY DR
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City | WILMINGTON
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State | DE
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Zip | 19810-1410
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Country | US
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Telephone | 302-433-6404
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Fax | 302-433-6446
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Provider Business Mailing Address
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Address Line | 124 SHREWSBURY DR
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City | WILMINGTON
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State | DE
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Zip | 19810-1410
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Country | US
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Telephone | 302-433-6404
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Fax | 302-433-6446
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Authorized Official
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Title or Position | CRNP
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Name | DOMINIC MARANO
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Credential | DNP
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Telephone | 302-433-6404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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