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General NPI Number Information
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NPI Number | 1053205666
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Entity Type | Individual
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Provider Name | MAUREEN SUSAN MARQUIE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 287 WILLIAMSON RD STE A
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City | MOORESVILLE
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State | NC
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Zip | 28117-6967
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Country | US
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Telephone | 704-360-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 170 LONGLEAF DR
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City | MOORESVILLE
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State | NC
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Zip | 28117-9551
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Country | US
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Telephone | 919-457-3359
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P21544
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License Number State | NC
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