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General NPI Number Information
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NPI Number | 1518858869
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Entity Type | Individual
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Provider Name | MARIENNE IGNACIO
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1111 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2612
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Country | US
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Telephone | 602-839-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 605 W MADISON ST APT 3902 TOWER 3
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City | CHICAGO
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State | IL
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Zip | 60661-2488
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 332812
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041457555
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License Number State | IL
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