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General NPI Number Information
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NPI Number | 1477727246
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Entity Type | Organization
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Legal Business Name | MARIUS SAINES, M.D. PROFESSIONAL CORP
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 4560 ADMIRALTY WAY STE 356
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5423
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Country | US
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Telephone | 310-823-7314
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Fax | 310-671-9989
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Provider Business Mailing Address
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Address Line | 4560 ADMIRALTY WAY STE 356
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5423
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Country | US
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Telephone | 310-823-7314
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Fax | 310-671-9989
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIUS SAINES
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Credential | M.D.
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Telephone | 310-823-7314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A36390
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License Number State | CA
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