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General NPI Number Information
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NPI Number | 1316452345
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Entity Type | Individual
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Provider Name | LAUREN KURSTIN LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 21396 MARINA COVE CIR
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City | AVENTURA
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State | FL
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Zip | 33180-4030
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Country | US
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Telephone | 561-703-1445
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Fax |
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Provider Business Mailing Address
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Address Line | 21396 MARINA COVE CIRCLE J12
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone |
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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 | MT2942
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License Number State | FL
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