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General NPI Number Information
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NPI Number | 1417068693
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Entity Type | Organization
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Legal Business Name | HYPERTENSION NEPHROLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 18302 MIDDLEBELT ROAD
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City | LIVONIA
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State | MI
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Zip | 48152-5007
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Country | US
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Telephone | 248-478-1500
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Fax | 248-478-2798
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Provider Business Mailing Address
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Address Line | PO BOX 67000 DEPT 06301
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City | DETROIT
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State | MI
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Zip | 48267-0063
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Country | US
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Telephone | 248-478-1500
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Fax | 248-478-2798
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Authorized Official
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Title or Position | TREASURER/PARTNER
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Name | DR. MARK GREGORY MARRONE
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Credential | MD
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Telephone | 248-478-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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