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General NPI Number Information
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NPI Number | 1669838751
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Entity Type | Individual
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Provider Name | CHRISTINE R MARQUARDT PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 19 N COURT ST STE 102
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City | FREDERICK
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State | MD
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Zip | 21701-5461
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Country | US
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Telephone | 240-253-1323
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Fax | 240-253-1323
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Provider Business Mailing Address
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Address Line | 3861 TRITON LN
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City | FREDERICK
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State | MD
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Zip | 21704-7007
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Country | US
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Telephone | 240-388-7420
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 905830
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R130851
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License Number State | MD
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