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General NPI Number Information
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NPI Number | 1760470751
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Entity Type | Individual
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Provider Name | MARC JAMES DINGA MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 9500 MENTOR AVEMUE SUITE 100
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City | MENTOR
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State | OH
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Zip | 44060-8714
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Country | US
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Telephone | 440-255-5620
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Fax | 440-375-8834
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Provider Business Mailing Address
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Address Line | 7590 AUBURN RD STE 14
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City | CONCORD TWP
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State | OH
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Zip | 44077-9176
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Country | US
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Telephone | 440-354-1899
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Fax | 440-354-1845
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35043692
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35043692
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License Number State | OH
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