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General NPI Number Information
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NPI Number | 1669634192
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Entity Type | Organization
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Legal Business Name | JOSEPH A MAROTTA MD PA
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 1200 BROOKLYN AVE SUITE 310
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4803
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Country | US
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Telephone | 210-475-0605
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Fax | 210-475-9500
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Provider Business Mailing Address
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Address Line | 1200 BROOKLYN AVE SUITE 310
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4803
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Country | US
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Telephone | 210-475-0605
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Fax | 210-475-0605
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH ANDREW MAROTTA
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Credential | MD
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Telephone | 210-475-0605
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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 | J8310
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License Number State | TX
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