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General NPI Number Information
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NPI Number | 1124978226
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Entity Type | Organization
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Legal Business Name | MARBELL INTEGRAL HEALTH PHYSICAL AND MENTAL WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 109 LAKESIDE PARK
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City | SOUTHAMPTON
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State | PA
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Zip | 18966
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Country | US
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Telephone | 267-442-8632
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Fax |
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Provider Business Mailing Address
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Address Line | 109 LAKESIDE PARK
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City | SOUTHAMPTON
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State | PA
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Zip | 18966
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIANNA DILOYAN
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Credential |
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Telephone | 267-442-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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