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General NPI Number Information
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NPI Number | 1063184521
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Entity Type | Individual
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Provider Name | LIA ARIANA DAMIANI-TINNEY LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 408 NE 6TH ST UNIT 312
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-6405
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Country | US
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Telephone | 305-302-4987
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Fax |
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Provider Business Mailing Address
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Address Line | 408 NE 6TH ST UNIT 312
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-6405
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Country | US
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Telephone | 305-395-2023
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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 | 18055
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License Number State | FL
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