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General NPI Number Information
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NPI Number | 1285380824
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Entity Type | Individual
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Provider Name | LOISMAY ROSARIA COLLIER LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 114 AIRPORT RD STE A
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City | PANAMA CITY
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State | FL
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Zip | 32405-4738
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Country | US
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Telephone | 850-343-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 2319 S HIGHWAY 77 UNIT 436
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City | LYNN HAVEN
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State | FL
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Zip | 32444-7719
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Country | US
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Telephone | 850-381-4237
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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 | 20350
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License Number State | FL
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