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General NPI Number Information
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NPI Number | 1316188709
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Entity Type | Individual
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Provider Name | MAREEH CLAIRE MARQUEZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 8080 LA MESA BLVD STE 205
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City | LA MESA
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State | CA
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Zip | 91942-0362
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Country | US
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Telephone | 619-324-3228
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Fax | 619-923-6333
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Provider Business Mailing Address
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Address Line | PO BOX 3171
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City | LA MESA
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State | CA
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Zip | 91944-3171
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Country | US
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Telephone | 619-324-3228
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Fax | 619-923-6333
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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 | 53516
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License Number State | CA
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