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General NPI Number Information
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NPI Number | 1770989436
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Entity Type | Individual
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Provider Name | CHELSEA MARQUEZ
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Gender | Female
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 400 N LOOP 1604 E STE 175
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City | SAN ANTONIO
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State | TX
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Zip | 78232
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Country | US
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Telephone | 210-545-4422
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Fax | 210-545-4495
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Provider Business Mailing Address
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Address Line | 400 N LOOP 1604 E STE 175
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1231
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Country | US
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Telephone | 210-545-4422
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Fax | 210-545-4495
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT83251
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License Number State | TX
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