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NPI 1740767474

NPI 1740767474 : MARINA UNROD, PHD, LLC : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1740767474
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARINA UNROD, PHD, LLC 
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Dates
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    Enumeration Date     |    07/25/2018
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    Last Update Date     |    11/11/2025
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Provider Practice Location Address
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    Address Line         |    10910 SHELDON RD 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33626-4701
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    Country              |    US
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    Telephone            |    813-386-6800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17207 EQUESTRIAN TRL 
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    City                 |    ODESSA
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    State                |    FL
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    Zip                  |    33556-1842
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    Country              |    US
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    Telephone            |    917-297-2895
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PSYCHOLOGIST
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    Name                 |    DR. MARINA  UNROD 
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    Credential           |    PHD
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    Telephone            |    917-297-2895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PY9537
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    License Number State |    FL
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