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General NPI Number Information
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NPI Number | 1538467683
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Entity Type | Individual
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Provider Name | KASEY REYNOLDS MARELIC MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 8845 LYRA DR
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City | COLUMBUS
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State | OH
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Zip | 43240
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Country | US
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Telephone | 380-222-2731
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Fax |
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Provider Business Mailing Address
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Address Line | 333 S DESPLAINES ST STE 201
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City | CHICAGO
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State | IL
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Zip | 60661-5514
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD500002958
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | ME166195
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 97275
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 036.166990
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 01092222A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | C1920
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 33258
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License Number State | WV
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Taxonomy #8
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 35123721
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License Number State | OH
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