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General NPI Number Information
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NPI Number | 1437680774
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Entity Type | Organization
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Legal Business Name | ERNEST R MARRONE DC DABCO
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 70 DEARFIELD DR
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City | GREENWICH
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State | CT
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Zip | 06831
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Country | US
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Telephone | 203-661-4445
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Fax | 203-661-4445
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Provider Business Mailing Address
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Address Line | 70 DEARFIELD DR
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City | GREENWICH
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State | CT
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Zip | 06831
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Country | US
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Telephone | 203-661-4445
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Fax | 203-661-4445
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Authorized Official
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Title or Position | SOLE PRACTITIONER
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Name | ERNEST R MARRONE SR.
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Credential | DC
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Telephone | 203-667-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 85
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License Number State | CT
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