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NPI Code Detail

MEDICARE: JENNIFER MARCHEL LCPO

MEDICARE:   JENNIFER  MARCHEL  LCPO
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
1222Z00000XOrthotist1496TX
2224P00000XProsthetist1496TX

General Provider Information

NPI Number : 1821356726
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARCHEL LCPO
Provider Business Mailing Address
First Line : 3001 BEE CAVE RD STE 130
Second Line :
City : AUSTIN
State : TX
Zip : 78746-5590
Country : US
Telephone Number : 512-389-3210
Fax Number : 512-389-0102
Provider Business Practice Location Address
First Line : 3001 BEE CAVE RD STE 130
Second Line :
City : AUSTIN
State : TX
Zip : 78746-5590
Country : US
Telephone Number : 512-389-3210
Fax Number : 512-389-0102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2012
Last Update Date : 04/27/2012

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Directions to “ JENNIFER MARCHEL LCPO” Practice Location

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