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General NPI Number Information
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NPI Number | 1417056508
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Entity Type | Organization
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Legal Business Name | MARSHA NUNLEY MD PA
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 218 SIDNEY BAKER ST
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City | KERRVILLE
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State | TX
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Zip | 78028-5367
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Country | US
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Telephone | 415-309-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 218 SIDNEY BAKER ST
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City | KERRVILLE
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State | TX
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Zip | 78028-5367
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Country | US
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Telephone | 415-309-5500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARSHA NUNLEY
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Credential | MD
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Telephone | 415-309-5500
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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 |
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License Number State |
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