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General NPI Number Information
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NPI Number | 1578295044
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Entity Type | Individual
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Provider Name | MARCIA DEMARJE SMITH
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Gender | Female
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 126 ELDRIDGE RD STE E
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City | SUGAR LAND
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State | TX
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Zip | 77478-3794
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Country | US
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Telephone | 281-907-9528
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Fax | 281-869-3696
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Provider Business Mailing Address
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Address Line | 12711 ALDERWOOD DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-3937
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Country | US
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Telephone | 901-387-8644
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Fax | 281-869-3693
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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 | 84940
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License Number State | TX
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