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General NPI Number Information
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NPI Number | 1326101650
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Entity Type | Individual
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Provider Name | STEVEN ANDREW MARRINSON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 7170 E TIERRA BUENA LN APT 424
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3152
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Country | US
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Telephone | 404-717-7041
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Fax | 678-317-9051
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Provider Business Mailing Address
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Address Line | 6 TALLULLAH CIR
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City | VALDOSTA
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State | GA
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Zip | 31602-7242
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Country | US
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Telephone | 404-717-7041
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Fax | 678-317-9051
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY000556
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License Number State | GA
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