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General NPI Number Information
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NPI Number | 1316138563
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Entity Type | Individual
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Provider Name | MARCY JOY ROSENBERG M.A.,L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 2881 E OAKLAND PARK BLVD STE 317
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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 | 954-315-1725
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Fax | 954-315-1726
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Provider Business Mailing Address
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Address Line | 2881 E OAKLAND PARK BLVD STE 317
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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 | 954-315-1725
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Fax | 954-315-1726
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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 | MH-5194
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH 5914
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 5914
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License Number State | FL
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