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General NPI Number Information
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NPI Number | 1841009263
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Entity Type | Organization
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Legal Business Name | MARBRI ENTERPRISES
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 3709 OLD FOREST RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-6902
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Country | US
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Telephone | 434-385-7707
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Fax | 434-385-0738
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Provider Business Mailing Address
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Address Line | 3709 OLD FOREST RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-6902
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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 | PRESIDENT
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Name | DR. ALEKSANDR BARON
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Credential | DDS
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Telephone | 732-740-6472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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