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General NPI Number Information
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NPI Number | 1821812066
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Entity Type | Organization
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Legal Business Name | MONARREZ MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 26362 CARMEL RANCHO LN STE 216
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City | CARMEL
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State | CA
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Zip | 93923-8858
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Country | US
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Telephone | 831-293-9225
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Fax |
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Provider Business Mailing Address
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Address Line | 266 RESERVATION RD STE F220
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City | MARINA
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State | CA
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Zip | 93933-3179
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Country | US
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Telephone | 831-293-9225
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Fax | 351-247-2112
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Authorized Official
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Title or Position | CEO/ MEDICAL DIRECTOR
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Name | LORENA MONARREZ
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Credential | MD
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Telephone | 831-293-9225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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