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General NPI Number Information
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NPI Number | 1083908586
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Entity Type | Individual
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Provider Name | KATIE A MARCHINCHIN MA, P.C.C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 9930 JOHNNYCAKE RIDGE RD STE 4F
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City | MENTOR
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State | OH
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Zip | 44060-6762
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Country | US
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Telephone | 440-579-5100
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Fax | 440-579-5104
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Provider Business Mailing Address
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Address Line | 9930 JOHNNYCAKE RIDGE RD STE 4F
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City | MENTOR
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State | OH
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Zip | 44060-6762
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Country | US
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Telephone | 440-579-5100
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Fax | 440-579-5104
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E1000347
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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 |
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License Number State |
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