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General NPI Number Information
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NPI Number | 1154296366
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Entity Type | Individual
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Provider Name | MARIANNE GAMBLE
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 4001 OFFICE COURT DR # 602
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City | SANTA FE
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State | NM
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Zip | 87507-4929
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Country | US
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Telephone | 505-207-8929
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Fax | 505-365-2902
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Provider Business Mailing Address
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Address Line | 3201 ZAFARANO DR STE C
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City | SANTA FE
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State | NM
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Zip | 87507-2672
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Country | US
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Telephone | 505-207-8929
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Fax | 505-365-2902
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CTB20250932
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License Number State | NM
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