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General NPI Number Information
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NPI Number | 1871082925
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Entity Type | Individual
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Provider Name | ANTHONY JOHN MAROIS MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 3900 TERRELL PARK DR STE 101
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City | SHERRILLS FORD
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State | NC
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Zip | 28673-9509
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Country | US
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Telephone | 828-580-1331
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Fax |
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Provider Business Mailing Address
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Address Line | 2165 MEDICAL PARK DR
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City | HICKORY
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State | NC
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Zip | 28602-8809
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Country | US
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Telephone | 828-459-6824
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 2023-02358
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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