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General NPI Number Information
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NPI Number | 1225589815
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Entity Type | Organization
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Legal Business Name | MARSDEN & ASSOCIATES, LLC.
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 4551 PROFESSIONAL CIR STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6442
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Country | US
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Telephone | 757-971-1381
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Fax |
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Provider Business Mailing Address
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Address Line | 4551 PROFESSIONAL CIR STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-6442
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Country | US
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Telephone | 757-971-1381
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Fax |
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Authorized Official
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Title or Position | FOUNDER MEMBER
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Name | ALLAN BRYAN MARSDEN
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Credential | DR
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Telephone | 757-971-1381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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