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General NPI Number Information
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NPI Number | 1487946406
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Entity Type | Individual
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Provider Name | MARCELENE LOUISE WEBB LAC, RN
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Gender | Female
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 440 S REYNOLDS RD SUITE D
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City | TOLEDO
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State | OH
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Zip | 43615-5900
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Country | US
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Telephone | 419-460-6779
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Fax | 419-578-6918
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Provider Business Mailing Address
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Address Line | 29664 CHATHAM WAY
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City | PERRYSBURG
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State | OH
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Zip | 43551-3405
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Country | US
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Telephone | 419-460-6779
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Fax | 419-578-6918
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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 | 000196
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License Number State | OH
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