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General NPI Number Information
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NPI Number | 1730183195
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Entity Type | Individual
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Provider Name | MARVIN J LOPEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 7661 BEECHMONT AVE STE 120
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City | CINCINNATI
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State | OH
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Zip | 45255-4234
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Country | US
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Telephone | 513-231-9010
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Fax | 513-231-9706
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Provider Business Mailing Address
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Address Line | PO BOX 632958
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City | CINCINNATI
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State | OH
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Zip | 45263-2958
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Country | US
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Telephone | 513-451-9698
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Fax | 513-451-9699
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35-080983
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License Number State | OH
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