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General NPI Number Information
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NPI Number | 1700263829
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Entity Type | Individual
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Provider Name | MRS. KAWAII SIU CHUI MARCHESE
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Gender | Female
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 2003 KOOTENAI HEALTH WAY # ID
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 208-625-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 6917 W BONNAIRE LOOP
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City | COEUR D ALENE
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State | ID
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Zip | 83815-0069
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 734851
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95000385
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 69317
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License Number State | ID
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