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General NPI Number Information
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NPI Number | 1376409672
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Entity Type | Individual
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Provider Name | ALEXANDER MARQUEZ
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Gender | Male
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 24 PARK AVE
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City | TARRYTOWN
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State | NY
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Zip | 10591-4414
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Country | US
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Telephone | 914-912-2353
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Fax |
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Provider Business Mailing Address
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Address Line | 3136 GODWIN TER APT E
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City | BRONX
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State | NY
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Zip | 10463-5467
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Country | US
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Telephone | 347-666-5580
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 899951
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License Number State | NY
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