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General NPI Number Information
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NPI Number | 1982180238
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Entity Type | Individual
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Provider Name | MARINE MORALES ATR
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 08/14/2021
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Provider Practice Location Address
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Address Line | 149 E 23RD ST # 1252
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City | NEW YORK
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State | NY
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Zip | 10010-3765
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Country | US
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Telephone | 702-801-0441
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Fax |
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Provider Business Mailing Address
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Address Line | 149 E 23RD ST # 1252
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City | NEW YORK
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State | NY
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Zip | 10010-3765
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Country | US
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Telephone | 201-682-4788
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | K028863
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | M263478ID
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License Number State |
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