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General NPI Number Information
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NPI Number | 1447056643
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Entity Type | Organization
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Legal Business Name | CITY FAMILY MEDICINE 2 LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 500 MARKET ST STE 7
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2882
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Country | US
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Telephone | 304-527-7171
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Fax | 304-873-4311
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Provider Business Mailing Address
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Address Line | 744 VIRGINIA AVE
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1436
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Country | US
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Telephone | 304-527-7171
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Fax | 304-873-4311
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. PAUL MARINO
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Credential | FNP
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Telephone | 304-527-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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