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General NPI Number Information
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NPI Number | 1477553287
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Entity Type | Organization
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Legal Business Name | INTEGRATED GASTROENTEROLOGY CONSULTANTS, PC
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 41 WELLMAN ST STE 400
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City | LOWELL
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State | MA
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Zip | 01851-5161
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Country | US
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Telephone | 978-459-6737
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Fax | 855-818-1869
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Provider Business Mailing Address
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Address Line | 41 WELLMAN ST STE 400
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City | LOWELL
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State | MA
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Zip | 01851-5161
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Country | US
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Telephone | 978-459-6737
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Fax | 978-459-2580
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANKLIN C MARINELLI
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Credential | MD
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Telephone | 978-459-6737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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