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General NPI Number Information
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NPI Number | 1245711761
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Entity Type | Individual
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Provider Name | JOEL SEBASTIAN MARQUEZ PT, DPT, ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 414 W SUNSET RD STE 205
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1771
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Country | US
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Telephone | 210-564-8300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416
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City | STOCKDALE
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State | TX
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Zip | 78160-0416
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1403116
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT9900
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License Number State | TX
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