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General NPI Number Information
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NPI Number | 1366557548
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Entity Type | Organization
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Legal Business Name | RAUL A. MARQUEZ, MD PA
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 2402 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8462
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Country | US
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Telephone | 956-668-0060
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Fax | 956-668-0070
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Provider Business Mailing Address
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Address Line | 2402 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8462
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Country | US
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Telephone | 956-680-0060
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Fax | 956-668-0070
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | DR. RAUL ALFONSO MARQUEZ
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Credential | M.D.
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Telephone | 956-668-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | J1302
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License Number State | TX
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