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General NPI Number Information
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NPI Number | 1851497903
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Entity Type | Individual
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Provider Name | MARC A IBANEZ MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1009 E 6TH ST
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City | ALICE
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State | TX
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Zip | 78332-4657
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Country | US
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Telephone | 361-668-8888
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Fax | 361-664-1818
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 407-533-6836
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Fax | 407-770-0661
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | M4188
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M4188
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | M4188
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License Number State | TX
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