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General NPI Number Information
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NPI Number | 1881347060
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Entity Type | Organization
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Legal Business Name | MARREO GROUP
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 8204 ELMBROOK DR STE 258
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City | DALLAS
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State | TX
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Zip | 75247-4067
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Country | US
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Telephone | 817-784-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 8204 ELMBROOK DR STE 258
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City | DALLAS
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State | TX
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Zip | 75247-4067
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Country | US
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Telephone | 817-784-7464
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHARLETTA MARRERO
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Credential |
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Telephone | 817-784-7464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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