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General NPI Number Information
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NPI Number | 1104485515
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Entity Type | Individual
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Provider Name | CARA ANGEL DAMIER
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Gender | Female
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 200 KNUTH RD STE 254
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4637
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Country | US
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Telephone | 561-220-1973
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Fax |
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Provider Business Mailing Address
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Address Line | 730 PLACE CHATEAU
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2213
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Country | US
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Telephone | 561-398-6712
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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 | IMH16110
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License Number State | FL
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