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General NPI Number Information
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NPI Number | 1598810855
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Entity Type | Organization
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Legal Business Name | NEAL A MAREK D P M LIMITED
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2105 JADELEAF CT
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City | LAS VEGAS
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State | NV
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Zip | 89134-6084
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Country | US
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Telephone | 702-438-2425
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Fax | 702-453-1962
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Provider Business Mailing Address
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Address Line | PO BOX 42010
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City | LAS VEGAS
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State | NV
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Zip | 89116-0010
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Country | US
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Telephone | 702-438-2425
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Fax | 702-453-1962
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEAL A MAREK
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Credential |
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Telephone | 702-438-2125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 0044
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License Number State | NV
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