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General NPI Number Information
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NPI Number | 1053099820
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Entity Type | Individual
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Provider Name | SHIRLEY CAROLINA DELMORAL LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 2225 N ANDREWS AVE
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City | WILTON MANORS
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State | FL
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Zip | 33311-3922
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Country | US
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Telephone | 954-551-1989
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Fax |
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Provider Business Mailing Address
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Address Line | 9756 NW 127TH ST
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-7402
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Country | US
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Telephone | 305-586-2235
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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 | MH14654
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License Number State | FL
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