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General NPI Number Information
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NPI Number | 1821125022
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Entity Type | Individual
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Provider Name | MARCIA L KEENE LPC, LMFT, CRP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 209 OLD WATERFORD RD NW
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City | LEESBURG
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State | VA
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Zip | 20176-2116
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Country | US
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Telephone | 703-727-2854
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Fax |
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Provider Business Mailing Address
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Address Line | 209 OLD WATERFORD RD NW
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City | LEESBURG
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State | VA
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Zip | 20176-2116
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Country | US
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Telephone | 703-727-2854
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0701002595
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717000577
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 0715004083
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License Number State | VA
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