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General NPI Number Information
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NPI Number | 1699812834
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Entity Type | Individual
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Provider Name | FREDERIQUE EUGENIE MARKS CAADC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 2344 OLD SONOMA RD BLDG J
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City | NAPA
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State | CA
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Zip | 94559-3708
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Country | US
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Telephone | 707-259-8769
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Fax |
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Provider Business Mailing Address
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Address Line | 8283 LANCASTER DR
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2800
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Country | US
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Telephone | 707-792-1969
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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 | A3697493
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License Number State | CA
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