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General NPI Number Information
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NPI Number | 1336387570
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Entity Type | Individual
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Provider Name | LORI MESSHAM LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 3900 WOODLAKE BLVD STE 200-14
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City | GREENACRES
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State | FL
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Zip | 33463-3044
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Country | US
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Telephone | 561-252-6613
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Fax |
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Provider Business Mailing Address
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Address Line | 75 CLEVELAND RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-3813
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Country | US
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Telephone | 561-252-6613
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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 | MH5419
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License Number State | FL
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