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General NPI Number Information
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NPI Number | 1780667626
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Entity Type | Organization
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Legal Business Name | MARSHALL-RISMILLER & ASSOCIATES
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 205 E LAUREL BLVD
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City | POTTSVILLE
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State | PA
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Zip | 17901-2534
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Country | US
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Telephone | 570-622-1887
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Fax | 570-622-1959
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Provider Business Mailing Address
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Address Line | 205 E LAUREL BLVD
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City | POTTSVILLE
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State | PA
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Zip | 17901-2534
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Country | US
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Telephone | 570-622-1887
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Fax | 570-622-1959
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES W FITZPATRICK
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Credential | D.O.
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Telephone | 570-622-1887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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