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General NPI Number Information
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NPI Number | 1700096864
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Entity Type | Individual
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Provider Name | JANET V. MARVEL L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 200 CITY HALL AVE. # E
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City | POQUOSON
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State | VA
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Zip | 23662
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Country | US
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Telephone | 757-868-0072
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Fax |
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Provider Business Mailing Address
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Address Line | 3505 BAYSIDE AVE
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City | NORFOLK
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State | VA
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Zip | 23518-1417
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Country | US
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Telephone | 757-362-0394
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904005956
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License Number State | VA
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