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General NPI Number Information
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NPI Number | 1851026272
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Entity Type | Individual
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Provider Name | MARIA MADDALENA MARIANI PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 1500 VILLAGE RUN RD STE 308
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City | WEXFORD
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State | PA
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Zip | 15090-6316
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Country | US
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Telephone | 724-934-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 103 CHERRY TREE PL
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City | CORAOPOLIS
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State | PA
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Zip | 15108-1124
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Country | US
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Telephone | 412-522-5111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MA063754
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License Number State | PA
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