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General NPI Number Information
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NPI Number | 1467559633
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Entity Type | Individual
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Provider Name | SUNIE GAE MARCHBANKS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 321 N CENTRAL EXPY SUITE 102
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City | MCKINNEY
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State | TX
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Zip | 75070-3519
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Country | US
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Telephone | 972-540-5700
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Fax | 214-544-8700
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Provider Business Mailing Address
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Address Line | 321 N CENTRAL EXPY SUITE 102
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City | MCKINNEY
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State | TX
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Zip | 75070-3519
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Country | US
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Telephone | 972-540-5700
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Fax | 214-544-8700
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 17856
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License Number State | TX
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