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NPI 1922165083

NPI 1922165083 : DR. JAMES MARCHIGIANI : JANESVILLE, WI

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General NPI Number Information
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    NPI Number           |    1922165083
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    Entity Type          |    Individual 
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    Provider Name        |    DR. JAMES MARCHIGIANI
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/01/2007
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    Last Update Date     |    07/24/2008
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Provider Practice Location Address
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    Address Line         |    1407 N WRIGHT RD 
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    City                 |    JANESVILLE
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    State                |    WI
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    Zip                  |    53546-1314
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    Country              |    US
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    Telephone            |    608-755-1625
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    Fax                  |    608-755-1796
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Provider Business Mailing Address
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    Address Line         |    2728 WOODLANE DR 
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    City                 |    JANESVILLE
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    State                |    WI
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    Zip                  |    53545-0433
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    Country              |    US
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    Telephone            |    608-754-7726
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    Fax                  |    608-754-8919
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    5669
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    License Number State |    WI
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