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General NPI Number Information
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NPI Number | 1063670081
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Entity Type | Individual
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Provider Name | MARNIE I SADEK MA LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 2741 INDIAN SCHOOL RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106
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Country | US
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Telephone | 505-710-9299
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Fax | 505-255-7890
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Provider Business Mailing Address
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Address Line | 7100 WAY CROSS AVE NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120
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Country | US
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Telephone | 505-710-9299
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Fax | 505-255-7890
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0106901
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License Number State | NM
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