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General NPI Number Information
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NPI Number | 1073872495
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Entity Type | Individual
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Provider Name | KAREN HAAG LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 430 W 66TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-6646
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Country | US
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Telephone | 786-201-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 1241 14TH ST UNIT 15
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3773
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH6953
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License Number State | FL
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