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General NPI Number Information
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NPI Number | 1750463717
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Entity Type | Organization
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Legal Business Name | MARIETTA HEALTH CARE SYSTEMS, INC.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 800 PIKE ST SUITE 2
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City | MARIETTA
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State | OH
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Zip | 45750-3507
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Country | US
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Telephone | 740-373-1449
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Fax | 740-373-4063
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Provider Business Mailing Address
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Address Line | 311 LL PUTNAM STREET
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City | MARIETTA
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State | OH
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Zip | 45750-3021
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Country | US
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Telephone | 740-373-1449
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Fax | 740-373-4063
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Authorized Official
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Title or Position | PRESIDENT
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Name | LLOYD D DENNIS
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Credential | M.D.
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Telephone | 740-373-1449
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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