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General NPI Number Information
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NPI Number | 1457604316
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Entity Type | Individual
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Provider Name | MARISA J. TABALNO NP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 2204E JOE BATTLE BLVD
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City | EL PASO
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State | TX
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Zip | 79938-4659
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Country | US
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Telephone | 915-503-1870
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Fax |
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Provider Business Mailing Address
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Address Line | 98-1079 MOANALUA RD STE 630
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City | AIEA
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State | HI
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Zip | 96701-4721
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Country | US
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Telephone | 808-485-5414
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Fax | 808-485-3022
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-2471
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1151757
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License Number State | TX
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