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General NPI Number Information
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NPI Number | 1376358564
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Entity Type | Individual
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Provider Name | MARISA CAHALL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1670 FISHINGER RD STE 200
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City | UPPER ARLINGTON
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State | OH
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Zip | 43221-1446
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Country | US
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Telephone | 614-456-2540
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Fax | 614-633-3675
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Provider Business Mailing Address
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Address Line | 1670 FISHINGER RD STE 200
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City | UPPER ARLINGTON
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State | OH
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Zip | 43221-1446
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Country | US
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Telephone | 614-456-2540
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Fax | 614-633-3675
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P.08750
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License Number State | OH
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