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General NPI Number Information
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NPI Number | 1295973923
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Entity Type | Organization
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Legal Business Name | HAMARQ, PA
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 2811 MCKINNEY AVE STE 240
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City | DALLAS
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State | TX
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Zip | 75204
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Country | US
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Telephone | 214-999-1019
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Fax | 214-999-1051
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Provider Business Mailing Address
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Address Line | 2811 MCKINNEY AVE STE 240
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City | DALLAS
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State | TX
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Zip | 75204-2628
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Country | US
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Telephone | 214-999-1019
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Fax | 214-999-1051
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Authorized Official
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Title or Position | OWNER
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Name | FABIOLA MARQUEZ HAMER
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Credential |
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Telephone | 214-999-1019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 9515
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License Number State | TX
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