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General NPI Number Information
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NPI Number | 1215847421
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Entity Type | Individual
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Provider Name | MARCUS BANKS JR JR.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 8323 SOUTHWEST FWY STE 630
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City | HOUSTON
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State | TX
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Zip | 77074-1618
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Country | US
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Telephone | 832-870-4048
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Fax | 346-502-6729
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Provider Business Mailing Address
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Address Line | 349 JEFFERSON AVE APT A
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City | FORT EUSTIS
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State | VA
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Zip | 23604-1125
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Country | US
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Telephone | 757-790-1370
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | T61994423
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License Number State | VA
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