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General NPI Number Information
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NPI Number | 1477273712
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Entity Type | Individual
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Provider Name | CINDY EARLINE MARCHELLO DPL AC
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 496 E MAIN ST
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City | WELLINGTON
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State | UT
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Zip | 84501
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Country | US
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Telephone | 435-512-8296
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | WELLINGTON
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State | UT
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Zip | 84542-0351
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Country | US
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Telephone | 435-512-8296
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3520311201
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License Number State | UT
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