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General NPI Number Information
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NPI Number | 1457076549
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Entity Type | Individual
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Provider Name | MARLENE COLIN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 50 N HILL AVE STE 100
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City | PASADENA
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State | CA
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Zip | 91106-1949
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Country | US
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Telephone | 424-413-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N BUSHNELL AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-1906
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Country | US
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Telephone | 424-413-5600
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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