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NPI 1053384578

NPI 1053384578 : WILLIAM ALAN MARCHIO : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1053384578
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM ALAN MARCHIO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/08/2006
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    Last Update Date     |    02/15/2008
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Provider Practice Location Address
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    Address Line         |    2450 W CHARLESTON 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89102
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    Country              |    US
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    Telephone            |    702-877-8660
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    Fax                  |    702-258-1322
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Provider Business Mailing Address
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    Address Line         |    PO BOX 15645 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89114-5645
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    Country              |    US
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    Telephone            |    702-242-7308
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    Fax                  |    702-240-8790
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    9530
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    License Number State |    NV
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