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General NPI Number Information
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NPI Number | 1700821998
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Entity Type | Organization
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Legal Business Name | JOHN N MARR PHD PA
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 7 COLT SQUARE DR #1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703
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Country | US
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Telephone | 479-575-0868
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Fax | 479-444-9346
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Provider Business Mailing Address
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Address Line | 7 COLT SQUARE DR #1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703
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Country | US
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Telephone | 479-575-0868
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Fax | 479-444-9346
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Authorized Official
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Title or Position | PSYCHOLOGIST OWNER
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Name | JOHN N MARR
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Credential |
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Telephone | 479-575-0868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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