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General NPI Number Information
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NPI Number | 1215281670
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Entity Type | Individual
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Provider Name | MARY ELIZABETH GUINEA LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 7491 W. OAKLAND PARK BLVD. #308
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City | FORT LAUDERDALE
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State | FL
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Zip | 33319
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Country | US
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Telephone | 813-235-5461
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Fax |
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Provider Business Mailing Address
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Address Line | 7491 W. OAKLAND PARK BLVD. #308
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City | FORT LAUDERDALE
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State | FL
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Zip | 33319
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Country | US
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Telephone | 813-235-5461
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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 | MH 11115
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License Number State | FL
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