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General NPI Number Information
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NPI Number | 1265336812
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Entity Type | Individual
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Provider Name | MARNIE LUXFORD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 11603 DONNER PASS RD
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City | TRUCKEE
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State | CA
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Zip | 96161-4953
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Country | US
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Telephone | 530-582-3730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 593
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City | CRYSTAL BAY
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State | NV
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Zip | 89402-0593
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NULL
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