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General NPI Number Information
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NPI Number | 1841646023
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Entity Type | Individual
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Provider Name | MARIANO MENENDEZ FURRER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 3301 C ST STE 1600
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City | SACRAMENTO
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State | CA
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Zip | 95816-3384
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Country | US
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Telephone | 916-734-6805
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Fax | 916-734-6806
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Provider Business Mailing Address
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Address Line | 3301 C ST STE 1600
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City | SACRAMENTO
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State | CA
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Zip | 95816-3384
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Country | US
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Telephone | 916-734-6805
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Fax | 916-734-6806
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 267352
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD208864
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A193529
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License Number State | CA
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