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General NPI Number Information
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NPI Number | 1407001415
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Entity Type | Organization
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Legal Business Name | MARLENNY FELIZ MD PA
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1613 N HIATUS RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2129
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Country | US
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Telephone | 954-885-6565
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Fax | 754-400-8009
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Provider Business Mailing Address
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Address Line | PO BOX 260715
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-7715
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Country | US
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Telephone | 954-322-8985
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARLENNY FELIZ
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Credential | MD
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Telephone | 954-322-8985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 96474
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License Number State | FL
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