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General NPI Number Information
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NPI Number | 1477338655
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Entity Type | Individual
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Provider Name | MARIN NOLAN MALONE RN, BSN, MSN,CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 111 MICHIGAN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2916
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Country | US
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Telephone | 202-476-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 325 N MANCHESTER ST
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City | ARLINGTON
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State | VA
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Zip | 22203-1118
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Country | US
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Telephone | 703-314-2034
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP1043785
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License Number State | DC
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