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General NPI Number Information
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NPI Number | 1710718168
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Entity Type | Organization
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Legal Business Name | MARCUS CONSTRUCTION LLC
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 10201 WILSHIRE AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-3024
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Country | US
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Telephone | 505-828-1922
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Fax | 505-828-9153
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Provider Business Mailing Address
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Address Line | 10201 WILSHIRE AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-3024
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Country | US
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Telephone | 505-828-1922
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Fax | 505-828-9153
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Authorized Official
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Title or Position | OWNER
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Name | EDGAR MARCUS
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Credential |
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Telephone | 505-828-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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