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General NPI Number Information
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NPI Number | 1760589394
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Entity Type | Individual
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Provider Name | MARISSA I WALLIE D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 530 COLLEGE PKWY SUITE F
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City | ANNAPOLIS
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State | MD
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Zip | 21409-4614
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Country | US
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Telephone | 410-349-2727
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Fax | 410-349-4605
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Provider Business Mailing Address
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Address Line | 1407 BRENWOODE RD
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City | ANNAPOLIS
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State | MD
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Zip | 21409-5494
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Country | US
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Telephone | 410-757-3413
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Fax | 410-349-4605
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01998
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License Number State | MD
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