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NPI 1083648190

NPI 1083648190 : FARID MARQUEZ PHYSICIAN/MD : CORAL GABLES, FL

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General NPI Number Information
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    NPI Number           |    1083648190
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    Entity Type          |    Individual 
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    Provider Name        |    FARID MARQUEZ PHYSICIAN/MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    01/28/2022
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Provider Practice Location Address
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    Address Line         |    221 SW 42ND AVE 2ND FLOOR
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-1751
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    Country              |    US
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    Telephone            |    305-476-0244
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    Fax                  |    305-938-0852
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Provider Business Mailing Address
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    Address Line         |    221 SW 42ND AVE 2ND FLOOR
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-1751
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    Country              |    US
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    Telephone            |    305-476-0244
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    Fax                  |    305-938-0852
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME0048235
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    License Number State |    FL
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