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NPI Code Detail

MEDICARE: MARISSA HIPOLITO

MEDICARE: MARISSA HIPOLITO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1245634393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA HIPOLITO
Provider Business Mailing Address
First Line : 1603A S MAIN ST
Second Line :
City : MILPITAS
State : CA
Zip : 95035-6261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1603A S MAIN ST
Second Line :
City : MILPITAS
State : CA
Zip : 95035-6261
Country : US
Telephone Number : 408-913-5019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2014
Last Update Date : 10/17/2014

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Directions to “ MARISSA HIPOLITO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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