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NPI 1447048434

NPI 1447048434 : CECILIA BARBARA MARFO : BOWIE, MD

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General NPI Number Information
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    NPI Number           |    1447048434
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    Entity Type          |    Individual 
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    Provider Name        |    CECILIA BARBARA MARFO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/29/2025
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    14211 TULIP REACH CT 
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    City                 |    BOWIE
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    State                |    MD
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    Zip                  |    20720-5814
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    Country              |    US
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    Telephone            |    240-353-8609
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    Fax                  |    240-353-8609
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Provider Business Mailing Address
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    Address Line         |    309 WREN CT 
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    City                 |    UPPER MARLBORO
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    State                |    MD
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    Zip                  |    20774-1930
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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    |    
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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        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    16AL1268
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    License Number State |    MD
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