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General NPI Number Information
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NPI Number | 1306979091
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Entity Type | Individual
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Provider Name | LONNIE L MARSHALL D. O.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 5TH AVE P 4511
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City | PITTSBURGH
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State | PA
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Zip | 15222-3000
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Country | US
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Telephone | 412-544-2785
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Fax |
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Provider Business Mailing Address
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Address Line | 11071 BABCOCK BLVD
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City | GIBSONIA
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State | PA
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Zip | 15044-8929
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Country | US
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Telephone | 724-625-5401
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS004268L
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License Number State | PA
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