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General NPI Number Information
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NPI Number | 1437173622
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Entity Type | Individual
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Provider Name | DOUGLAS TODD MARSIGLI DPT
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/19/2009
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Provider Practice Location Address
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Address Line | 2413 PROFESSIONAL DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2254
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Country | US
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Telephone | 252-443-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 3517 SHEFFIELD DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-1232
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Country | US
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Telephone | 252-443-5247
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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 | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | 8133
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License Number State | NC
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