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General NPI Number Information
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NPI Number | 1740226299
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Entity Type | Organization
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Legal Business Name | PATRICIA MARROQUIN MD PA
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1110 COTTONWOOD LN SUITE 200
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City | IRVING
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State | TX
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Zip | 75038-6105
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Country | US
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Telephone | 972-258-7462
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Fax | 972-659-3141
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Provider Business Mailing Address
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Address Line | 1110 COTTONWOOD LN SUITE 200
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City | IRVING
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State | TX
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Zip | 75038-6105
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Country | US
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Telephone | 972-258-7462
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Fax | 972-659-3141
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | PATRICIA MARROQUIN
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Credential | MD
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Telephone | 972-258-7462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L6516
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License Number State | TX
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