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General NPI Number Information
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NPI Number | 1164784393
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Entity Type | Organization
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Legal Business Name | GRACE CIMINO-BRAUNSTEIN, L.M.H.C., P.A.
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 1881 N UNIVERSITY DR SUITE 202
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8915
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Country | US
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Telephone | 954-345-0252
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Fax | 954-345-0253
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Provider Business Mailing Address
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Address Line | 1881 N UNIVERSITY DR SUITE 202
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8915
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Country | US
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Telephone | 954-345-0252
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Fax | 954-345-0253
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MS. GRACE LYNN CIMINO-BRAUNSTEIN
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Credential | L.M.H.C.
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Telephone | 954-345-0252
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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 | MH0002026
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License Number State | FL
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