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General NPI Number Information
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NPI Number | 1881711653
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Entity Type | Individual
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Provider Name | CHARLES TRENTON MARABLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2001 MALLORY LN STE 202
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City | FRANKLIN
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State | TN
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Zip | 37067-8235
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Country | US
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Telephone | 615-771-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 MALLORY LN STE 202
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City | FRANKLIN
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State | TN
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Zip | 37067-8235
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Country | US
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Telephone | 615-771-8181
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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 | 31269
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License Number State | TN
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