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General NPI Number Information
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NPI Number | 1720524267
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Entity Type | Individual
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Provider Name | SAUDHI M MARQUEZ RPT
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Gender | Female
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 407 LAKE HOWELL RD STE 1039
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City | MAITLAND
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State | FL
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Zip | 32751-5914
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Country | US
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Telephone | 321-972-3755
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Fax | 407-951-6208
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Provider Business Mailing Address
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Address Line | 407 LAKE HOWELL RD STE 1027
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City | MAITLAND
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State | FL
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Zip | 32751-5908
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Country | US
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Telephone | 321-972-3755
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 2582537
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License Number State | FL
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