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General NPI Number Information
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NPI Number | 1669686457
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Entity Type | Individual
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Provider Name | NELBA L. MARQUEZ-GREENE M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 602 NEW BRITAIN AVE
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City | HARTFORD
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State | CT
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Zip | 06106-4033
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Country | US
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Telephone | 860-833-5430
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Fax | 860-953-1081
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Provider Business Mailing Address
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Address Line | 602 NEW BRITAIN AVE
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City | HARTFORD
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State | CT
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Zip | 06106-4033
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Country | US
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Telephone | 860-833-5430
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Fax | 860-953-1081
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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 | 001209
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License Number State | CT
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