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Individual
DR. TINA MARIE MARSHALL
Active
Individual
DR. TINA MARIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2603
CT
152W00000X
Optometrist
3911
FL
152W00000X
Optometrist
Primary
7187TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002603CT01
ANTHEM BC/BS
CT
01
—
1282160002
MEDICARE DME
CT
01
—
16201
SPECTERA
CT
01
—
2034688800
VISION SERVICE PLAN
CT
01
—
260300
CONNECTICARE
CT
01
—
2915525
CIGNA
CT
01
—
2995970
AETNA
CT
01
—
2V2616
HEALTHNET
CT
01
—
P2739088
OXFORD
CT
Enumeration date
05/05/2006
Last updated
05/12/2014
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