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General NPI Number Information
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NPI Number | 1417514761
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Entity Type | Organization
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Legal Business Name | MARQUIS HEALTH SOLUTION, LLC
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 05/27/2019
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Provider Practice Location Address
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Address Line | 14850 MONTFORT DR STE 197
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City | DALLAS
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State | TX
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Zip | 75254-6724
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Country | US
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Telephone | 844-895-9030
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Fax | 833-272-5426
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Provider Business Mailing Address
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Address Line | 14850 MONTFORT DR STE 197
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City | DALLAS
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State | TX
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Zip | 75254-6724
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Country | US
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Telephone | 844-895-9030
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Fax | 833-272-5426
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Authorized Official
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Title or Position | CONTRACTOR
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Name | DR. EMMANUEL UBINAS-BRACHE
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Credential | MD
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Telephone | 844-895-9030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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