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General NPI Number Information
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NPI Number | 1265084131
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Entity Type | Individual
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Provider Name | KARRIE MARINO WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 499 BECKETT RD STE 202
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1771
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Country | US
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Telephone | 856-746-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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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 |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L1-0028405
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | LH-0000234
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ15152900
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License Number State | NJ
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