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General NPI Number Information
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NPI Number | 1821498585
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Entity Type | Organization
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Legal Business Name | JOHN P. MARION, D.P.M., P.A.
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Dates
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Enumeration Date | 09/01/2014
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Last Update Date | 09/01/2014
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Provider Practice Location Address
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Address Line | 4410 W 16TH AVE 53
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City | HIALEAH
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State | FL
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Zip | 33012-7100
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Country | US
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Telephone | 305-558-7437
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 W 16TH AVE 53
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City | HIALEAH
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State | FL
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Zip | 33012-7100
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Country | US
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Telephone | 305-558-7437
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN PATRICK MARION
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Credential | D.P.M.
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Telephone | 305-776-1055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3635
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License Number State | FL
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