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General NPI Number Information
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NPI Number | 1861389264
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Entity Type | Individual
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Provider Name | MELISSA NICOLE MARQUES LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 4723 NW 53RD AVE STE B
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City | GAINESVILLE
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State | FL
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Zip | 32653-4804
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Country | US
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Telephone | 352-235-9006
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 1ST AVE NW # NQ
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City | NAPLES
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State | FL
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Zip | 34120-2713
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Country | US
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Telephone | 239-595-8736
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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 | MH2594
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License Number State | FL
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