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General NPI Number Information
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NPI Number | 1902921372
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Entity Type | Individual
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Provider Name | MARIANNE KATHRYN DEBARBADILLO BC-FNP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 5933 E PEA RIDGE RD
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City | HUNTINGTON
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State | WV
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Zip | 25705-2629
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Country | US
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Telephone | 304-736-6262
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Fax | 304-736-5984
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Provider Business Mailing Address
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Address Line | 804 WATER ST # A
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1929
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Country | US
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Telephone | 304-733-2930
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Fax | 304-736-5984
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-00372
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License Number State | OH
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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 | 35013
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License Number State | WV
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