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General NPI Number Information
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NPI Number | 1285051078
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Entity Type | Individual
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Provider Name | WALTER HOWARD M.S., LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 01/11/2015
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Provider Practice Location Address
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Address Line | 7481 W OAKLAND PARK BLVD SUITE 302 C
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City | TAMARAC
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State | FL
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Zip | 33319-4985
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Country | US
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Telephone | 954-256-4601
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Fax | 954-491-4255
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Provider Business Mailing Address
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Address Line | 5010 SW 19TH ST
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City | WEST PARK
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State | FL
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Zip | 33023-3271
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Country | US
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Telephone | 954-256-4601
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MT 2758
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MT 2758
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MT 2758
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT 2758
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License Number State | FL
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