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General NPI Number Information
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NPI Number | 1568386167
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Entity Type | Individual
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Provider Name | MARRIAH MCINTYRE
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 8730 SCROGGS RD
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City | LISBON
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State | OH
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Zip | 44432-9333
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Country | US
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Telephone | 330-420-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 4250 GLACIER AVE NW
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City | MASSILLON
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State | OH
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Zip | 44646-1430
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Country | US
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Telephone | 330-949-9132
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.381464
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License Number State | OH
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