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General NPI Number Information
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NPI Number | 1881358463
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Entity Type | Individual
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Provider Name | MARLISE ROSE KRESIC COMBE-PIERCE MS CGC
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Gender | Female
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 30 LAFAYETTE AVE STE 11010
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4177
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Country | US
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Telephone | 89-766-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 15970 JACKSON ST
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City | BRIGHTON
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State | CO
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Zip | 80602-7795
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Country | US
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Telephone | 845-532-3480
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Fax |
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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