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General NPI Number Information
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NPI Number | 1285997833
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Entity Type | Individual
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Provider Name | CLIFFORD BERNARD MARSH EDD, EDS, MS, MSW
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Gender | Male
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 615 MOCKERNUT LN
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City | COLUMBIA
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State | SC
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Zip | 29209-4432
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Country | US
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Telephone | 202-695-0187
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Fax |
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Provider Business Mailing Address
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Address Line | 615 MOCKERNUT LN
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City | COLUMBIA
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State | SC
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Zip | 29209-4432
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Country | US
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Telephone | 202-695-0187
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904010807
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 15833
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 32897
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200004288
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7222
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License Number State | SC
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