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General NPI Number Information
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NPI Number | 1093159675
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Entity Type | Individual
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Provider Name | LISA M ADAIR L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 301 N SEACREST BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-4069
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Country | US
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Telephone | 561-436-2807
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Fax | 561-734-1617
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Provider Business Mailing Address
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Address Line | 306 VENICE DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3430
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Country | US
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Telephone | 561-436-2807
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Fax | 561-734-1617
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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 | MH 11755
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License Number State | FL
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