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General NPI Number Information
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NPI Number | 1184153884
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Entity Type | Individual
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Provider Name | MARCI MACARAEG MD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 1501 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85724-0001
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Country | US
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Telephone | 520-694-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 535 N WILMOT RD STE 201
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City | TUCSON
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State | AZ
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Zip | 85711-2629
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | NA
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 60771
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License Number State | AZ
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