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General NPI Number Information
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NPI Number | 1528071255
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Entity Type | Organization
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Legal Business Name | MARION PEDIATRICS
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3102 SW 13TH ST
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City | OCALA
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State | FL
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Zip | 34474
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Country | US
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Telephone | 352-369-1001
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Fax | 352-369-0977
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Provider Business Mailing Address
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Address Line | 3102 SW 13TH STREET
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City | OCALA
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State | FL
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Zip | 34474
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Country | US
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Telephone | 352-369-1001
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Fax | 352-369-0977
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Authorized Official
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Title or Position | OWNER
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Name | YVES-LANDE PIERRE
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Credential | MD
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Telephone | 352-369-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME78868
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License Number State | FL
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