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General NPI Number Information
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NPI Number | 1366698581
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Entity Type | Individual
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Provider Name | DEBORAH MARION L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 02/20/2011
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Provider Practice Location Address
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Address Line | 242 TEAYS LN
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City | HURRICANE
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State | WV
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Zip | 25526-9611
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Country | US
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Telephone | 864-784-0464
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Fax |
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Provider Business Mailing Address
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Address Line | 13 BEVERLY HTS
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City | TUSCALOOSA
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State | AL
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Zip | 35404-2911
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Country | US
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Telephone | 864-784-0464
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1702
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License Number State | WV
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