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General NPI Number Information
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NPI Number | 1114918349
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Entity Type | Individual
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Provider Name | LIANNE MARKS M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2005
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 98 WADSWORTH BLVD # 127-3150
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City | LAKEWOOD
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State | CO
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Zip | 80226-1550
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Country | US
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Telephone | 720-580-4893
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Fax |
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Provider Business Mailing Address
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Address Line | 98 WADSWORTH BLVD # 127-3150
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City | LAKEWOOD
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State | CO
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Zip | 80226-1550
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Country | US
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Telephone | 512-543-2326
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10016831
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | CDRH.0058867
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License Number State | CO
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