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General NPI Number Information
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NPI Number | 1982040226
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Entity Type | Organization
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Legal Business Name | JULIO E ALBARRAN MARZAN MD PC
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 452 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10033-4600
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Country | US
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Telephone | 212-781-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 254 ORANGEBURGH RD
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7408
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Country | US
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Telephone | 212-781-8088
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Fax | 212-320-0282
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JULIO E ALBARRAN MARZAN
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Credential | MD
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Telephone | 212-781-8088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 181719
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License Number State | NY
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