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NPI 1265225148

NPI 1265225148 : MORGAN ELISE MARQUEZ OD : GREEN VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1265225148
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN ELISE MARQUEZ OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2025
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    Last Update Date     |    05/23/2025
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Provider Practice Location Address
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    Address Line         |    560 E CONTINENTAL RD UNIT 104 
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    City                 |    GREEN VALLEY
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    State                |    AZ
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    Zip                  |    85614-1825
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    Country              |    US
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    Telephone            |    520-625-5673
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    Fax                  |    520-625-6259
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Provider Business Mailing Address
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    Address Line         |    1327 DUNROVIN DR 
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    City                 |    NEW ALBANY
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    State                |    OH
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    Zip                  |    43054-9416
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    Country              |    US
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    Telephone            |    614-886-1661
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    P002685A
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    License Number State |    AZ
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