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NPI 1164303442

NPI 1164303442 : MARQUE MEDICAL CLINIC, INC : CHULA VISTA, CA

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General NPI Number Information
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    NPI Number           |    1164303442
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARQUE MEDICAL CLINIC, INC 
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Dates
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    Enumeration Date     |    09/11/2025
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    605 E PALOMAR ST STE 103 
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    City                 |    CHULA VISTA
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    State                |    CA
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    Zip                  |    91911-6975
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    Country              |    US
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    Telephone            |    877-693-6266
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    Fax                  |    619-378-7385
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Provider Business Mailing Address
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    Address Line         |    605 E PALOMAR ST STE 103 
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    City                 |    CHULA VISTA
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    State                |    CA
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    Zip                  |    91911-6975
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    Country              |    US
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    Telephone            |    877-693-6266
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    Fax                  |    619-378-7385
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     ALISA  JONES 
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    Credential           |    
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    Telephone            |    949-760-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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