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General NPI Number Information
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NPI Number | 1003426198
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Entity Type | Individual
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Provider Name | JEANETTE O'FLAHERTY LMHC, NCC, CBHCMS
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Gender | Female
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 3800 W BROWARD BLVD STE 100
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1018
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Country | US
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Telephone | 954-587-1008
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Fax | 954-208-5673
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Provider Business Mailing Address
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Address Line | 4395 PUU LANI PL
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City | KALAHEO
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State | HI
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Zip | 96741-8722
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Country | US
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Telephone | 786-302-3500
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Fax | 786-302-3500
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH24118
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License Number State | FL
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