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General NPI Number Information
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NPI Number | 1194332288
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Entity Type | Individual
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Provider Name | KAREN H CLONINGER LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 122 N 4TH ST STE 2006
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City | LAKE MARY
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State | FL
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Zip | 32746-2944
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Country | US
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Telephone | 407-353-5914
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 HILL STREAM DR
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City | GENEVA
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State | FL
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Zip | 32732-9612
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Country | US
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Telephone | 407-353-5914
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Fax | 407-349-3243
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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 | MH10281
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License Number State | FL
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