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General NPI Number Information
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NPI Number | 1255730941
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Entity Type | Individual
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Provider Name | LEE ANNE POLORONIS LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 700 W PALMETTO PARK RD
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City | BOCA RATON
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State | FL
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Zip | 33486-3562
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Country | US
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Telephone | 855-501-1004
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Fax | 855-919-6172
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Provider Business Mailing Address
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Address Line | 3835 N FREEWAY BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1954
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Country | US
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Telephone | 916-576-7900
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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 | MH20088
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License Number State | FL
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