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General NPI Number Information
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NPI Number | 1730457581
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Entity Type | Individual
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Provider Name | JANA MARCHESANO MARCHESANO
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Gender | Female
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 2524 FRANKFURT ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520-3854
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Country | US
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Telephone | 609-501-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 27043 BAKER POTTS RD
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City | HARLINGEN
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State | TX
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Zip | 78552-3761
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Country | US
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Telephone | 956-792-4542
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 33982
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License Number State | TX
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