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General NPI Number Information
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NPI Number | 1932196631
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Entity Type | Individual
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Provider Name | RAYMOND LEO MARIANI DPM
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 142 WESTERN AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6101
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Country | US
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Telephone | 802-257-7913
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Fax | 802-257-7913
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Provider Business Mailing Address
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Address Line | 142 WESTERN AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6101
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Country | US
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Telephone | 802-257-7913
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | VT78
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | NH116
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MA1390
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License Number State | MA
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