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General NPI Number Information
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NPI Number | 1225374077
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Entity Type | Organization
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Legal Business Name | MARCHAND OBGYN PLLC
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 03/09/2019
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Provider Practice Location Address
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Address Line | 10238 E HAMPTON AVE STE 212
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City | MESA
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State | AZ
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Zip | 85209
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Country | US
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Telephone | 480-999-0905
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Fax | 480-999-0801
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Provider Business Mailing Address
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Address Line | 10238 E HAMPTON AVE STE 212
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City | MESA
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State | AZ
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Zip | 85209-3318
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Country | US
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Telephone | 480-999-0905
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Fax | 480-999-0801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY JOSEPH MARCHAND
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Credential | M.D.
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Telephone | 480-628-0566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 40957
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License Number State | AZ
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