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General NPI Number Information
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NPI Number | 1386790038
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Entity Type | Individual
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Provider Name | MARINA TOURKOVA MD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 2033 WOOD ST STE 220
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City | SARASOTA
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State | FL
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Zip | 34237-7927
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Country | US
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Telephone | 941-677-3366
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Fax | 941-677-3367
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Provider Business Mailing Address
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Address Line | 0-14 28TH ST
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City | FAIR LAWN
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State | NJ
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Zip | 07410-3707
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Country | US
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Telephone | 201-703-9893
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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 | 25MA07474800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME112413
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License Number State | FL
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