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General NPI Number Information
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NPI Number | 1568112878
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Entity Type | Individual
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Provider Name | JAYSON ANDREW MARCARELLI DO
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Gender | Male
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 229 HIGHWAY 19 E
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City | BLUFF CITY
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State | TN
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Zip | 37618-1865
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Country | US
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Telephone | 423-538-5116
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Fax | 423-538-3861
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Provider Business Mailing Address
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Address Line | PO BOX 850
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City | ROGERSVILLE
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State | TN
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Zip | 37857-0850
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Country | US
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Telephone | 423-921-6975
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Fax | 423-921-6920
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6426
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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