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General NPI Number Information
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NPI Number | 1447375787
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Entity Type | Organization
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Legal Business Name | ELIDA MARQUEZ MD INC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 262 SAN JOSE ST A
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City | SALINAS
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State | CA
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Zip | 93901-3935
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Country | US
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Telephone | 831-775-0705
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Fax | 831-775-0762
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Provider Business Mailing Address
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Address Line | 262 SAN JOSE ST A
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City | SALINAS
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State | CA
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Zip | 93901-3935
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Country | US
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Telephone | 831-775-0705
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Fax | 831-775-0762
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LUCIA SALDANA
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Credential |
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Telephone | 831-775-0758
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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 | 00A694450
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License Number State | CA
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