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General NPI Number Information
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NPI Number | 1659300762
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Entity Type | Individual
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Provider Name | MARLAH MONTESCLAROS TOMBOC M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 32ND ST. BONIFACIO GLOBAL CITY SUITE 731 MAB
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City | TAGUIG
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State | METRO MANILA
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Zip | 1634
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Country | PH
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Telephone | 917-625-0927
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Fax |
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Provider Business Mailing Address
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Address Line | 32ND ST. BONIFACIO GLOBAL CITY SUITE 731 MAB
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City | TAGUIG
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State | METRO MANILA
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Zip | 1634
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Country | PH
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Telephone | 917-625-0927
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Fax |
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 200200292
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | MD2014-0717
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 61000 - 20
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License Number State | WI
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