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General NPI Number Information
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NPI Number | 1518485671
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Entity Type | Individual
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Provider Name | EDIE LASHELL MARLER NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2201 DUNN ST STE 1
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City | JUNEAU
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State | AK
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Zip | 99801-9480
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Country | US
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Telephone | 907-523-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 DUNN ST STE 1
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City | JUNEAU
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State | AK
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Zip | 99801-9480
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Country | US
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Telephone | 907-523-8888
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1-113448
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-113448
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 243112
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License Number State | AK
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