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General NPI Number Information
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NPI Number | 1952759425
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Entity Type | Organization
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Legal Business Name | MARQUIS MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 1733 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4621
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Country | US
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Telephone | 954-457-4201
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Fax |
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Provider Business Mailing Address
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Address Line | 1733 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4621
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Country | US
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Telephone | 954-457-4201
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID MARQUIS
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Credential | D.O
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Telephone | 954-457-4201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | OS7851
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License Number State | FL
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