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General NPI Number Information
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NPI Number | 1295381457
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Entity Type | Organization
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Legal Business Name | PATRICIA MARIN
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2294 BELGIAN LN APT 30
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City | CLEARWATER
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State | FL
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Zip | 33763-2535
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Country | US
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Telephone | 347-978-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 1903 TEMPLE AVE UNIT 216
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City | SIGNAL HILL
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State | CA
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Zip | 90755-5608
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Country | US
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Telephone | 347-978-3833
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. PATRICIA MARIN
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Credential | LCSW
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Telephone | 347-978-3833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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