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General NPI Number Information
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NPI Number | 1285918664
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Entity Type | Individual
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Provider Name | WILLIAM REHKAMP M.S., LMHC
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Gender | Male
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 5040 SW 96TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-6447
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Country | US
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Telephone | 305-801-2176
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 SW 96TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-6447
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Country | US
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Telephone | 305-801-2176
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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 | MH10887
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License Number State | FL
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