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General NPI Number Information
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NPI Number | 1831471424
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Entity Type | Individual
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Provider Name | TERRI LYNN MARCISCHAK APRN-BC, DNP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 1301 BEAVER AVE.
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City | PITTSBURGH
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State | PA
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Zip | 15233
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Country | US
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Telephone | 800-863-1563
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Fax | 412-321-2234
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Provider Business Mailing Address
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Address Line | 1301 BEAVER AVE.
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City | PITTSBURGH
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State | PA
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Zip | 15233
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Country | US
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Telephone | 800-863-1563
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Fax | 412-321-2234
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 58777
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 58777
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License Number State | WV
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