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General NPI Number Information
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NPI Number | 1992159867
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Entity Type | Organization
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Legal Business Name | MARINA R. GURMAN
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 108 CROSS COVE CT
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-5437
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Country | US
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Telephone | 802-922-4914
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Fax | 888-649-1182
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Provider Business Mailing Address
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Address Line | 42 LAKE AVE
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City | WORCESTER
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State | MA
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Zip | 01604
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Country | US
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Telephone | 413-427-5807
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Fax | 508-519-6539
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Authorized Official
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Title or Position | OWNER
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Name | MARINA GURMAN
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Credential |
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Telephone | 802-922-4914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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