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General NPI Number Information
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NPI Number | 1124369947
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Entity Type | Individual
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Provider Name | RION MARCUS D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 10555 MONTGOMERY BLVD NE BUILDING 1, SUITE 30
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3857
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Country | US
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Telephone | 505-299-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 4509 SAN ANDRES AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-1125
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Country | US
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Telephone | 505-615-7466
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2064
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License Number State | NM
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