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General NPI Number Information
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NPI Number | 1013807445
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Entity Type | Individual
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Provider Name | BARBARA LEE MARRANDINO RN
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 842 HANN AVE
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City | DIXON
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State | IL
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Zip | 61021-9018
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Country | US
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Telephone | 815-590-3038
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Fax | 815-590-3038
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Provider Business Mailing Address
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Address Line | 842 HANN AVE
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City | DIXON
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State | IL
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Zip | 61021-9018
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Country | US
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Telephone | 815-590-3038
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Fax | 815-590-3038
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 041.437848
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License Number State | IL
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