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General NPI Number Information
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NPI Number | 1538574553
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Entity Type | Individual
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Provider Name | BRITTANY FOX MARSHALL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 7452 FULTON DR NW STE A
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City | MASSILLON
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State | OH
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Zip | 44646-9393
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Country | US
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Telephone | 254-774-9991
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Fax | 254-744-9980
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Provider Business Mailing Address
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Address Line | 944 CHERRY ST E
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City | CANAL FULTON
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State | OH
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Zip | 44614-8669
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Country | US
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Telephone | 330-854-4281
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Fax | 330-854-0829
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT009018
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License Number State | OH
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