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General NPI Number Information
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NPI Number | 1821938671
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Entity Type | Individual
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Provider Name | ALICE MARIE PARKS
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Gender | Female
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 9750 APOLLO DR # B29
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-4924
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Country | US
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Telephone | 240-795-2883
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 JEROME DR
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-3253
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Country | US
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Telephone | 240-795-2883
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP17631
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License Number State | MD
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