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General NPI Number Information
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NPI Number | 1033574074
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Entity Type | Organization
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Legal Business Name | CYNTHIA L. EAMES, LMHC
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 2060 A1A HWY STE 304
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-3596
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Country | US
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Telephone | 321-431-2457
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 510832
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City | MELBOURNE BEACH
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State | FL
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Zip | 32951-0832
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Country | US
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Telephone | 321-431-2457
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CYNTHIA LEE EAMES
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Credential | MS, LMHC
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Telephone | 321-431-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MH4980
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License Number State | FL
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