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General NPI Number Information
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NPI Number | 1568329936
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Entity Type | Individual
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Provider Name | TRISHA MARINO
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 767 E YOSEMITE AVE STE E
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City | MERCED
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State | CA
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Zip | 95340-8055
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Country | US
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Telephone | 209-354-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 680 PEGASUS DR
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City | MERCED
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State | CA
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Zip | 95348-9604
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Country | US
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Telephone | 213-259-0245
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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