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General NPI Number Information
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NPI Number | 1295030856
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Entity Type | Individual
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Provider Name | MARINA SKANE
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Gender | Female
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 611 DRUID ROAD E SUITE 704
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City | CLEARWATER
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State | FL
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Zip | 33756-3939
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Country | US
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Telephone | 802-727-0246
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Fax | 813-229-6609
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Provider Business Mailing Address
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Address Line | 611 DRUID RD E STE 704
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City | CLEARWATER
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State | FL
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Zip | 33756-3939
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Country | US
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Telephone | 802-727-0246
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Fax | 803-229-6609
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2954
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License Number State | FL
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