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General NPI Number Information
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NPI Number | 1588020176
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Entity Type | Individual
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Provider Name | JELEEKA A MARSH PT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 9614 CANNOCK CHASE DR
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City | HOUSTON
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State | TX
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Zip | 77065-4421
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Country | US
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Telephone | 832-723-7838
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Fax |
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Provider Business Mailing Address
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Address Line | 9614 CANNOCK CHASE DR
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City | HOUSTON
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State | TX
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Zip | 77065-4421
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Country | US
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Telephone | 832-723-7838
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 21701
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1237846
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License Number State | TX
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