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General NPI Number Information
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NPI Number | 1497944664
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Entity Type | Organization
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Legal Business Name | MARK J FLORIAN MD PA
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E SUITE 345
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City | BRYAN
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State | TX
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Zip | 77802-3475
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Country | US
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Telephone | 979-731-8465
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 UNIVERSITY DR E SUITE 345
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City | BRYAN
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State | TX
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Zip | 77802-3475
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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 | OWNER/PRESIDENT
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Name | DR. MARK J FLORIAN
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Credential |
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Telephone | 979-731-8465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K2017
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License Number State | TX
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