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General NPI Number Information
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NPI Number | 1932348042
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Entity Type | Organization
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Legal Business Name | MARC A DARR MD LLC
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 1672 OAKLAWN DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-1106
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Country | US
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Telephone | 928-445-5339
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Fax | 928-445-3644
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Provider Business Mailing Address
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Address Line | 1672 OAKLAWN DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-1106
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Country | US
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Telephone | 928-445-5339
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Fax | 928-445-3644
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARC A DARR
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Credential | MD
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Telephone | 928-445-5339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 21034
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License Number State | AZ
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