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General NPI Number Information
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NPI Number | 1861804965
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Entity Type | Organization
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Legal Business Name | GREG MARCHAND FAMILY MEDICINE PA
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 4534 W GATE BLVD SUITE113
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City | AUSTIN
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State | TX
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Zip | 78745-1485
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Country | US
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Telephone | 512-394-6020
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Fax | 512-350-2825
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Provider Business Mailing Address
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Address Line | 4534 W GATE BLVD SUITE113
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City | AUSTIN
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State | TX
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Zip | 78745-1485
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Country | US
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Telephone | 512-394-6020
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Fax | 512-350-2825
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY MARCHAND
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Credential | M.D.
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Telephone | 512-394-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G8620
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License Number State | TX
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