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General NPI Number Information
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NPI Number | 1497873483
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Entity Type | Organization
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Legal Business Name | MARAN, INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 401 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-374-1451
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Fax |
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Provider Business Mailing Address
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Address Line | 125 SHAMROCK DR
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City | MARIETTA
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State | OH
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Zip | 45750-9426
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Country | US
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Telephone | 740-373-9085
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN C LEE
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Credential |
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Telephone | 740-706-1304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 054101
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License Number State | OH
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