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General NPI Number Information
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NPI Number | 1275579344
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Entity Type | Individual
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Provider Name | ANTONIA HERMINIA MARQUES M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | LA CUMBRE GDS APT.105,CALLE SANTA ROSA#200
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 178-772-0693
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Fax | 178-727-1377
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Provider Business Mailing Address
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Address Line | LA CUMBRE GDS APT.105,CALLE SANTA ROSA#200
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 178-772-0693
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Fax | 178-727-1377
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 6082
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License Number State | PR
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