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General NPI Number Information
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NPI Number | 1063955441
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Entity Type | Individual
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Provider Name | MARIZZEL GARCIA
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Gender | Female
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 9582 PRINCETON GLENDALE RD
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City | HAMILTON
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State | OH
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Zip | 45011-9709
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Country | US
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Telephone | 513-346-5640
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Fax | 513-346-5644
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Provider Business Mailing Address
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Address Line | 9582 PRINCETON GLENDALE RD
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City | HAMILTON
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State | OH
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Zip | 45011-9709
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Country | US
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Telephone | 513-346-5640
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Fax | 513-346-5644
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.1700678
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1600504
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1700679
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.1901464-SUPV
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License Number State | OH
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