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General NPI Number Information
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NPI Number | 1629885728
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Entity Type | Organization
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Legal Business Name | MARIN MEDICAL CONCIERGE
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1300 S ELISEO DR STE 203
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City | GREENBRAE
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State | CA
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Zip | 94904-2015
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Country | US
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Telephone | 415-461-5552
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Fax | 415-464-8964
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Provider Business Mailing Address
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Address Line | 1300 S ELISEO DR STE 203
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City | GREENBRAE
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State | CA
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Zip | 94904-2015
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Country | US
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Telephone | 415-461-5552
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Fax | 415-464-8964
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. ALANA WALKER
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Credential |
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Telephone | 415-461-5552
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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 |
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License Number State |
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