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General NPI Number Information
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NPI Number | 1285402354
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Entity Type | Individual
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Provider Name | DEBBIE ACEVEDO MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 2881 E OAKLAND PARK BLVD # 404
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1813
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Country | US
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Telephone | 954-600-1576
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 NE 21ST AVE # 11
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5690
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Country | US
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Telephone | 954-842-5440
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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 | MH19620
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License Number State | FL
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