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General NPI Number Information
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NPI Number | 1770760282
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Entity Type | Organization
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Legal Business Name | MARNIN E FISCHBACH MD PC
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 1036 SUMMERSET DR
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City | PITTSBURGH
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State | PA
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Zip | 15217-2537
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Country | US
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Telephone | 412-389-5227
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Fax | 412-881-5335
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Provider Business Mailing Address
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Address Line | 1036 SUMMERSET DR
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City | PITTSBURGH
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State | PA
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Zip | 15217-2537
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Country | US
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Telephone | 412-389-5227
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Fax | 412-881-5335
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARNIN ELI FISCHBACH
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Credential | MD
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Telephone | 412-389-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MD-072287-L
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License Number State | PA
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