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General NPI Number Information
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NPI Number | 1083397319
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Entity Type | Individual
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Provider Name | JAMES H MARRONE LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 1080 N MINNESOTA ST
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City | CARSON CITY
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State | NV
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Zip | 89703-3850
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Country | US
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Telephone | 445-735-0775
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Fax |
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Provider Business Mailing Address
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Address Line | 406 E ADAMS ST APT B
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City | CARSON CITY
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State | NV
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Zip | 89706-3045
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Country | US
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Telephone | 775-671-6187
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9171-M
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | IC-2299
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License Number State | NV
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