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General NPI Number Information
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NPI Number | 1528964798
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Entity Type | Individual
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Provider Name | MISS KATHLEEN MARINO
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Gender | Female
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Dates
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Enumeration Date | 10/15/2026
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Last Update Date | 10/15/2026
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Provider Practice Location Address
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Address Line | 635 COUNTY ROAD 801
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City | ASHLAND
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State | OH
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Zip | 44805-9571
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Country | US
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Telephone | 419-945-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 660 E FORD AVE
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City | BARBERTON
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State | OH
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Zip | 44203-3703
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Country | US
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Telephone | 330-466-7726
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017920
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License Number State | OH
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