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General NPI Number Information
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NPI Number | 1427078955
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Entity Type | Individual
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Provider Name | MARSHA KAY NUNLEY MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 300 LAKESIDE DR STE 202
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City | OAKLAND
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State | CA
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Zip | 94612-3654
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Country | US
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Telephone | 510-893-3907
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Fax | 510-893-3987
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Provider Business Mailing Address
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Address Line | 300 LAKESIDE DR STE 202
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City | OAKLAND
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State | CA
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Zip | 94612-3654
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Country | US
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Telephone | 510-893-3907
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Fax | 510-893-3987
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H0696
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C50005
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License Number State | CA
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