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General NPI Number Information
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NPI Number | 1073655932
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Entity Type | Individual
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Provider Name | MARIE LOUISE SATTERWHITE LPC
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/21/2011
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Provider Practice Location Address
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Address Line | 160 AVENUE E NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4127
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Country | US
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Telephone | 863-292-8292
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Fax | 863-292-8283
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Provider Business Mailing Address
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Address Line | 4404 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2169
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Country | US
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Telephone | 863-292-8292
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Fax | 863-292-8283
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC2118
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 001822
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PMH1007
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License Number State | FL
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