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General NPI Number Information
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NPI Number | 1760820716
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Entity Type | Organization
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Legal Business Name | MARATHON HEALTH, LLC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 6155 EL CAMINO REAL
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City | CARLSBAD
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State | CA
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Zip | 92009-1602
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Country | US
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Telephone | 760-929-3952
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Fax |
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Provider Business Mailing Address
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Address Line | 6155 EL CAMINO REAL
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City | CARLSBAD
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State | CA
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Zip | 92009-1602
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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 | PHARMACY DIRECTOR
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Name | ERIN SMITH
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Credential |
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Telephone | 816-304-1933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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