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General NPI Number Information
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NPI Number | 1265655971
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Entity Type | Individual
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Provider Name | ANNA RUSINOWSKI M.A., L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 SPARTAN DR
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City | MAITLAND
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State | FL
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Zip | 32751-3468
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Country | US
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Telephone | 407-331-8002
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Fax | 407-261-1696
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Provider Business Mailing Address
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Address Line | 900 NORTHERN DANCER WAY #206
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City | CASSELBERRY
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State | FL
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Zip | 32707-6706
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Country | US
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Telephone | 407-697-8040
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Fax | 407-695-1486
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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 | MH8872
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License Number State | FL
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