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General NPI Number Information
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NPI Number | 1033559349
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Entity Type | Organization
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Legal Business Name | MARQUIS CARE
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 25 U ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-2155
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Country | US
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Telephone | 541-731-9917
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Fax |
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Provider Business Mailing Address
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Address Line | 25 U ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-2155
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Country | US
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Telephone | 541-731-9917
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | EMMA GATCHET
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Credential |
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Telephone | 541-736-2724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 201330218LPN
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License Number State | OR
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