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General NPI Number Information
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NPI Number | 1154572121
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Entity Type | Individual
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Provider Name | IRENE MARGARITA CORTES LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 2699 STIRLING RD STE 306-E
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6517
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Country | US
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Telephone | 954-399-2642
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Fax |
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Provider Business Mailing Address
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Address Line | 392 SW 159TH DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1141
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Country | US
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Telephone | 954-483-9478
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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 | MH7515
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License Number State | FL
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