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NPI 1952821373

NPI 1952821373 : CHRISTINE MARIANO DPM : LANCASTER, PA

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General NPI Number Information
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    NPI Number           |    1952821373
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE MARIANO DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/27/2017
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    Last Update Date     |    02/22/2023
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Provider Practice Location Address
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    Address Line         |    170 N POINTE BLVD 
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    City                 |    LANCASTER
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    State                |    PA
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    Zip                  |    17601-4132
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    Country              |    US
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    Telephone            |    717-299-4871
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    Fax                  |    717-391-2494
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Provider Business Mailing Address
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    Address Line         |    6 HEARTHSTONE CT STE 106 
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    City                 |    READING
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    State                |    PA
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    Zip                  |    19606-3062
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    Country              |    US
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    Telephone            |    610-779-3643
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    1463
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    SC007056
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    License Number State |    PA
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