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General NPI Number Information
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NPI Number | 1689402232
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Entity Type | Individual
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Provider Name | MARISSA MARGARET GIARDINA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 2108 BRANDYWOOD DR
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City | WILMINGTON
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State | DE
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Zip | 19810-2402
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Country | US
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Telephone | 609-576-0494
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 BRANDYWOOD DR
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City | WILMINGTON
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State | DE
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Zip | 19810-2402
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Country | US
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Telephone | 609-576-0494
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS01241000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | O1-0012340
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14400200
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License Number State | NJ
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