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General NPI Number Information
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NPI Number | 1710233150
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Entity Type | Organization
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Legal Business Name | ROBERT E. MARINARO MD LLC
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 20 COMMUNITY PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7500
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Country | US
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Telephone | 973-538-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 20 COMMUNITY PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ROBERT E. MARINARO
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Credential | M.D.
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Telephone | 973-538-4544
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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 | 25MA04790600
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License Number State | NJ
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