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General NPI Number Information
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NPI Number | 1700812260
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Entity Type | Organization
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Legal Business Name | MARIN FOOT & ANKLE CENTER PA
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 3410 W 84TH ST STE 100
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City | HIALEAH
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State | FL
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Zip | 33018-4906
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Country | US
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Telephone | 305-826-7774
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Fax | 305-826-5505
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Provider Business Mailing Address
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Address Line | 13825 NW 22ND ST
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City | SUNRISE
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State | FL
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Zip | 33323-5303
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Country | US
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Telephone | 305-826-7774
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Fax | 305-826-5505
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS E MARIN
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Credential | DPM
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Telephone | 305-826-7774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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