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General NPI Number Information
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NPI Number | 1376161067
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Entity Type | Individual
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Provider Name | MICHAELA MARQUEZ MS, RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 103 N HAVEN RD FL 2
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City | ELMHURST
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State | IL
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Zip | 60126-2973
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Country | US
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Telephone | 630-595-9988
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Fax |
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Provider Business Mailing Address
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Address Line | 511 BIGHORN RD APT 202
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City | NAPERVILLE
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State | IL
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Zip | 60563-4605
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Country | US
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Telephone | 630-957-8158
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164008061
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License Number State | IL
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