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General NPI Number Information
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NPI Number | 1396526893
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Entity Type | Organization
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Legal Business Name | LEMAR MARSHALL TRUST
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 5250 W CENTURY BLVD STE 206
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City | LOS ANGELES
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State | CA
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Zip | 90045-5946
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Country | US
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Telephone | 562-955-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 W CENTURY BLVD STE 206
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City | LOS ANGELES
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State | CA
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Zip | 90045-5946
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TRUSTEE
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Name | MR. LEMAR MARSHALL
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Credential |
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Telephone | 323-453-3129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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