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General NPI Number Information
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NPI Number | 1033136023
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Entity Type | Organization
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Legal Business Name | JOSE R. MARQUINA, M.D., P.A.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 1855 VETERANS PARK DR SUITE 302
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City | NAPLES
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State | FL
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Zip | 34109-0446
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Country | US
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Telephone | 239-592-5864
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Fax | 239-592-6214
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Provider Business Mailing Address
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Address Line | PO BOX 111179
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City | NAPLES
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State | FL
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Zip | 34108-0120
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Country | US
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Telephone | 239-592-5864
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Fax | 239-592-6214
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Authorized Official
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Title or Position | OWNER
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Name | JOSE R MARQUINA
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Credential | M.D., F.C.C.P.
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Telephone | 239-592-5864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 179809
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 179809
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License Number State | FL
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