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General NPI Number Information
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NPI Number | 1518153618
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Entity Type | Organization
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Legal Business Name | GARRETT L MARR, MD
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 2600 E SOUTHERN AVE SUITE E-1
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City | TEMPE
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State | AZ
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Zip | 85282-7610
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Country | US
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Telephone | 480-946-2208
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Fax | 480-946-2667
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Provider Business Mailing Address
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Address Line | 8776 E SHEA BLVD SUITE B-3A BOX 460
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6629
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Country | US
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Telephone | 480-946-2208
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Fax | 480-946-2667
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Authorized Official
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Title or Position | PHYSICIANOWNER
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Name | DR. GARRETT LEWIS MARR
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Credential | MD
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Telephone | 480-946-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 37030
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License Number State | AZ
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