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General NPI Number Information
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NPI Number | 1871236950
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Entity Type | Organization
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Legal Business Name | MARSHAL MEDICAL CARE, LLC
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 913 WYNDHAM HILLS DR
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City | LEXINGTON
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State | KY
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Zip | 40514-1518
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Country | US
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Telephone | 859-539-4653
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Fax |
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Provider Business Mailing Address
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Address Line | 1795 ALYSHEBA WAY STE 1001
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City | LEXINGTON
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State | KY
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Zip | 40509-2282
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Country | US
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Telephone | 859-539-4653
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA MICHELLE MARSHAL
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Credential | APRN
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Telephone | 859-539-4653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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