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General NPI Number Information
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NPI Number | 1457609000
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Entity Type | Individual
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Provider Name | MARILYN ANN STRAITWELL RN, CSA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 2323 CLEAR LAKE CITY BLVD. SUITE 180-213
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City | HOUSTON
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State | TX
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Zip | 77062
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Country | US
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Telephone | 281-224-4861
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Fax | 866-826-9232
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Provider Business Mailing Address
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Address Line | 2323 CLEAR LAKE CITY BLVD. SUITE 180-213
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City | HOUSTON
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State | TX
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Zip | 77062
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Country | US
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Telephone | 281-224-4861
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Fax | 866-826-9232
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 695972
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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