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General NPI Number Information
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NPI Number | 1497812267
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Entity Type | Individual
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Provider Name | BRIAN KEITH MARQUEZ DC
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 9811 BROWNSBORO RD
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City | LOUISVILLE
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State | KY
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Zip | 40241-5230
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Country | US
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Telephone | 502-327-6000
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Fax | 502-327-6009
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Provider Business Mailing Address
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Address Line | 9811 BROWNSBORO RD
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City | LOUISVILLE
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State | KY
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Zip | 40241-5230
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Country | US
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Telephone | 502-327-6000
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Fax | 502-327-6009
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4785
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 4785
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 4785
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 4785
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 4785
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 4785
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License Number State | KY
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