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General NPI Number Information
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NPI Number | 1003806787
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Entity Type | Organization
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Legal Business Name | MARCO BAILON SAUCEDO MD PC
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 490 N CARONDELET DR WOMENS HEALTH & SURGERY CEN
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City | NOGALES
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State | AZ
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Zip | 85621-2453
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Country | US
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Telephone | 520-287-2257
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Fax | 520-287-2259
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Provider Business Mailing Address
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Address Line | 490 N CARONDELET DR WOMENS HEALTH & SURGERY CEN
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City | NOGALES
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State | AZ
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Zip | 85621-2453
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Country | US
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Telephone | 520-287-2257
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Fax | 520-287-2259
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARCO B SAUCEDO
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Credential | MD
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Telephone | 520-287-2257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | AZ27068
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License Number State | AZ
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