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General NPI Number Information
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NPI Number | 1649167925
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Entity Type | Individual
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Provider Name | MARILYNE SAYEGH
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 501 S PRESTON ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1701
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Country | US
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Telephone | 737-600-7733
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W LIBERTY ST STE 1704
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City | LOUISVILLE
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State | KY
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Zip | 40202-2472
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Country | US
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Telephone | 737-600-7733
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11403
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License Number State | KY
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