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NPI 1225175326

NPI 1225175326 : MARLENE MARTON M.S. CCC SLP : ARDEN, NC

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General NPI Number Information
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    NPI Number           |    1225175326
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    Entity Type          |    Individual 
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    Provider Name        |    MARLENE MARTON M.S. CCC SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2007
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    Last Update Date     |    01/13/2025
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Provider Practice Location Address
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    Address Line         |    4 LONG SHOALS RD STE B 
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    City                 |    ARDEN
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    State                |    NC
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    Zip                  |    28704-7708
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    Country              |    US
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    Telephone            |    954-494-5798
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    Fax                  |    828-579-4262
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Provider Business Mailing Address
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    Address Line         |    4 LONG SHOALS RD STE B 
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    City                 |    ARDEN
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    State                |    NC
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    Zip                  |    28704-7708
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    Country              |    US
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    Telephone            |    954-494-5798
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    Fax                  |    828-579-4262
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    14633
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SA5531
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    License Number State |    FL
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