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General NPI Number Information
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NPI Number | 1992521330
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Entity Type | Organization
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Legal Business Name | MARQUIS MD LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 110 E BROWARD BLVD STE 2400
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3504
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Country | US
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Telephone | 561-323-6593
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 N STATE ROAD 7 STE 300
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5867
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Country | US
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Telephone | 561-323-6593
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Fax |
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Authorized Official
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Title or Position | COO
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Name | PAMELA WESTBERG
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Credential |
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Telephone | 561-323-6593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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