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General NPI Number Information
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NPI Number | 1124154323
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Entity Type | Individual
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Provider Name | ROEL NOLIDO QUERUBIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/24/2007
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | MARIETTA RHEUMATOLOGY ASSOCIATES 670 NORTH AVENUE SUITE 100
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City | MARIETTA
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State | GA
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Zip | 30060
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Country | US
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Telephone | 770-560-7166
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Fax | 770-727-2121
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Provider Business Mailing Address
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Address Line | 670 NORTH AVENUE SUITE 300
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City | MARIETTA
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State | GA
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Zip | 30060
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Country | US
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Telephone | 770-560-7166
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Fax | 770-727-2121
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 043112
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 43112
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License Number State | GA
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