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General NPI Number Information
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NPI Number | 1932012895
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Entity Type | Individual
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Provider Name | MARCOS FERNANDEZ CARREON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 401 E SPRUCE ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5679
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Country | US
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Telephone | 620-272-2152
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E SPRUCE ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5679
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Country | US
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Telephone | 620-272-2152
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-128863
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License Number State | KS
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