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General NPI Number Information
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NPI Number | 1710849419
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Entity Type | Individual
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Provider Name | MR. MARLOU ZANORIA
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Gender | Male
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1616 HAMILTON ST
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City | BELLEVILLE
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State | NJ
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Zip | 07109-5346
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Country | US
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Telephone | 856-506-6281
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Fax | 862-762-2998
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Provider Business Mailing Address
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Address Line | 109 RIVER RD APT A9
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City | NUTLEY
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State | NJ
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Zip | 07110-3518
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Country | US
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Telephone | 856-506-6281
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Fax | 862-762-2998
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 46TA09106800
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License Number State | NJ
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