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General NPI Number Information
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NPI Number | 1750547618
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Entity Type | Individual
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Provider Name | MARCHELL E THUROW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 1999 BRYAN ST STE 900
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City | DALLAS
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State | TX
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Zip | 75201-3140
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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Provider Business Mailing Address
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Address Line | 2100 N MAIN ST STE 304
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City | CROWN POINT
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State | IN
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Zip | 46307-1877
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0681
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07885
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License Number State | TX
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