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General NPI Number Information
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NPI Number | 1295536175
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Entity Type | Individual
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Provider Name | MARILYN ANN CAREY LMT
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Gender |
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 412 PONCE DE LEON DR
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-8121
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Country | US
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Telephone | 501-915-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 44 PALMA LN
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-5315
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Country | US
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Telephone | 682-320-1163
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 9255
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License Number State | AR
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