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NPI 1710707047

NPI 1710707047 : MARQUEZ DIAZ & ASSOCIATES : BRISTOW, VA

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General NPI Number Information
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    NPI Number           |    1710707047
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARQUEZ DIAZ & ASSOCIATES 
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Dates
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    Enumeration Date     |    10/11/2024
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    Last Update Date     |    10/11/2024
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Provider Practice Location Address
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    Address Line         |    8955 BENCHMARK LN 
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    City                 |    BRISTOW
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    State                |    VA
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    Zip                  |    20136-5777
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    Country              |    US
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    Telephone            |    703-869-0058
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    Fax                  |    703-397-8220
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Provider Business Mailing Address
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    Address Line         |    8955 BENCHMARK LN 
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    City                 |    BRISTOW
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    State                |    VA
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    Zip                  |    20136-5777
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    Country              |    US
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    Telephone            |    703-869-0058
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    Fax                  |    703-397-8220
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |    DR. RAMFIS L MARQUEZ 
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    Credential           |    PHD
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    Telephone            |    703-869-0058
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    102L00000X
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    Taxonomy Name        |    Psychoanalyst
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    103TA0700X
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    Taxonomy Name        |    Adult Development & Aging Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    103TF0200X
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    Taxonomy Name        |    Forensic Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    103TH0004X
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    Taxonomy Name        |    Health Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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