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General NPI Number Information
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NPI Number | 1699467647
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Entity Type | Individual
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Provider Name | CHRISTIAN JAMES MARQUEZ DMD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 725 S GREEN VALLEY PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89052-0455
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Country | US
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Telephone | 702-560-5231
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Fax | 702-560-5249
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Provider Business Mailing Address
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Address Line | 725 S GREEN VALLEY PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89052-0455
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Country | US
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Telephone | 702-560-5231
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Fax | 702-560-5249
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7997
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License Number State | NV
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