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General NPI Number Information
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NPI Number | 1134092018
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Entity Type | Individual
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Provider Name | NATALIE WISEMAN LMHC INTERN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 300 W 41ST ST STE 213
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3627
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Country | US
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Telephone | 646-363-6303
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Fax |
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Provider Business Mailing Address
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Address Line | 6111 FREMLIN ST
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City | VANCOUVER
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State | BC
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Zip | V5Z3W8
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Country | CA
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH28214
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License Number State | FL
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