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General NPI Number Information
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NPI Number | 1831840842
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Entity Type | Individual
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Provider Name | JACY QUINN MARCHIAFAVA CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 8080 BLUEBONNET BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70810-7827
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Country | US
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Telephone | 225-214-6438
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Fax | 225-214-6437
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Provider Business Mailing Address
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Address Line | 7777 HENNESSY BLVD STE 301
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City | BATON ROUGE
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State | LA
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Zip | 70808-0319
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Country | US
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Telephone | 225-214-6438
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Fax | 225-214-6437
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1070020
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 243033
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License Number State | LA
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