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General NPI Number Information
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NPI Number | 1437829645
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Entity Type | Organization
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Legal Business Name | MARES CARES FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 10 DUN RD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1101
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Country | US
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Telephone | 740-804-4506
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Fax |
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Provider Business Mailing Address
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Address Line | 45 ZANDER DR
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1240
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | ALVIN MARES
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Credential |
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Telephone | 740-804-6275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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