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General NPI Number Information
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NPI Number | 1669333910
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Entity Type | Organization
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Legal Business Name | MARISSA WARD
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6630 OLD SPURGER HWY
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City | SILSBEE
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State | TX
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Zip | 77656-2720
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Country | US
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Telephone | 936-229-7973
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Fax |
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Provider Business Mailing Address
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Address Line | 111 W AVENUE P # 126
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City | SILSBEE
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State | TX
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Zip | 77656-5821
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARISSA WARD
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Credential |
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Telephone | 713-367-4832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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