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General NPI Number Information
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NPI Number | 1689618365
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Entity Type | Individual
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Provider Name | FLAVIA MARINO M.D., F.A.A.P.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 155 E 38TH ST SUITE 2E
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City | NEW YORK
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State | NY
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Zip | 10016-2660
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Country | US
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Telephone | 212-490-2446
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Fax | 212-599-2376
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Provider Business Mailing Address
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Address Line | 155 EAST 38TH STREET SUITE 2E
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-490-2446
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 141603
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License Number State | NY
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