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General NPI Number Information
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NPI Number | 1649079849
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Entity Type | Organization
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Legal Business Name | MARKER 28 LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 444 BROADWAY STE 306
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2260
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Country | US
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Telephone | 646-261-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 444 BROADWAY STE 306
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2260
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Country | US
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Telephone | 646-261-0670
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MEGAN JUDGE
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Credential | WCP
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Telephone | 646-261-0670
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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 |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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