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General NPI Number Information
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NPI Number | 1992753024
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Entity Type | Individual
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Provider Name | MARCUS J DILORENZO MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 1302 SE 25TH LOOP STE 101
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City | OCALA
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State | FL
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Zip | 34471-1027
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Country | US
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Telephone | 352-732-5550
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Fax | 352-369-6687
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Provider Business Mailing Address
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Address Line | PO BOX 3858
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City | OCALA
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State | FL
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Zip | 34478-3858
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Country | US
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Telephone | 352-732-5550
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Fax | 352-369-6687
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0045390
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME45390
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License Number State | FL
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