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General NPI Number Information
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NPI Number | 1538941216
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Entity Type | Individual
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Provider Name | MARIE C. MARANT M.S., CCC-SLP, CMT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 411 BRANCHWAY RD STE 108
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3034
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Country | US
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Telephone | 804-399-8515
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Fax |
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Provider Business Mailing Address
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Address Line | 12613 LANCEY CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-3357
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Country | US
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Telephone | 804-399-8515
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202001463
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License Number State | VA
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