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General NPI Number Information
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NPI Number | 1356063077
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Entity Type | Organization
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Legal Business Name | MARNDERS COMMUNITY FOUNDATION
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 7918 JONES BRANCH DR FL 4
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City | MC LEAN
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State | VA
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Zip | 22102-3319
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Country | US
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Telephone | 202-810-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 10331 BARRINGTON PARK CIR
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City | MANASSAS
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State | VA
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Zip | 20110-6197
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Country | US
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Telephone | 301-728-7399
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. YVONNE MARBELL
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Credential |
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Telephone | 301-728-7399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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