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General NPI Number Information
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NPI Number | 1932197506
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Entity Type | Individual
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Provider Name | CHRISTOPHER MARMO O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 21655 N LAKE PLEASANT PKWY
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City | PEORIA
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State | AZ
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Zip | 85382-7436
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Country | US
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Telephone | 623-537-4595
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Fax | 602-437-3498
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Provider Business Mailing Address
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Address Line | 1104 W LYDIA LN
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City | PHOENIX
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State | AZ
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Zip | 85041-5924
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Country | US
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Telephone | 480-961-1865
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Fax | 480-961-4605
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT001437
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-001437
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License Number State | AZ
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