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General NPI Number Information
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NPI Number | 1154262046
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Entity Type | Individual
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Provider Name | MARILINE CORVIL PMHNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 7650 CURRELL BLVD STE 255-B
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City | WOODBURY
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State | MN
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Zip | 55125-2257
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Country | US
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Telephone | 651-703-6566
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Fax | 952-516-5103
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Provider Business Mailing Address
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Address Line | 7650 CURRELL BLVD STE 255-B
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City | WOODBURY
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State | MN
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Zip | 55125-2257
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Country | US
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Telephone | 651-703-6566
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Fax | 952-516-5103
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10059184
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2453927
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License Number State | MN
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