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General NPI Number Information
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NPI Number | 1922341296
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Entity Type | Organization
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Legal Business Name | JORGE A MARQUIS DDS PA
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 6037 N FRY RD SUITE 162
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City | KATY
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State | TX
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Zip | 77449-1802
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Country | US
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Telephone | 281-656-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 14943 DUNWOODY BND
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City | CYPRESS
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State | TX
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Zip | 77429-1870
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Country | US
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Telephone | 281-250-9549
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JORGE ALBERTO MARQUIS
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Credential | DDS
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Telephone | 281-656-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 17098
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License Number State |
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