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General NPI Number Information
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NPI Number | 1932726809
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Entity Type | Individual
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Provider Name | MARINA ROMANY TONY
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Gender | Female
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 4801 ALBERTA AVE
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City | EL PASO
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State | TX
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Zip | 79905-2707
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Country | US
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Telephone | 915-215-5400
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Fax | 915-215-8632
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Provider Business Mailing Address
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Address Line | 5130 GATEWAY BLVD E
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City | EL PASO
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State | TX
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Zip | 79905-1608
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Country | US
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Telephone | 915-215-4480
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Fax | 915-215-5386
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 692182
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License Number State | TX
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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 | POD001542
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License Number State | GA
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