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NPI 1245757731

NPI 1245757731 : KAREN LOMAX LLC : WELLINGTON, FL

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General NPI Number Information
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    NPI Number           |    1245757731
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAREN LOMAX LLC 
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Dates
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    Enumeration Date     |    08/24/2017
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    Last Update Date     |    05/07/2018
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Provider Practice Location Address
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    Address Line         |    11146 MAINSAIL CT 
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    City                 |    WELLINGTON
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    State                |    FL
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    Zip                  |    33449-7415
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    Country              |    US
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    Telephone            |    561-312-1999
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11146 MAINSAIL CT 
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    City                 |    WELLINGTON
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    State                |    FL
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    Zip                  |    33449-7415
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LCSW
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    Name                 |     KAREN  LOMAX 
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    Credential           |    
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    Telephone            |    561-312-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    SW14645
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    License Number State |    FL
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