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General NPI Number Information
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NPI Number | 1346591245
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Entity Type | Individual
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Provider Name | MARY JOYCE LOMBANA ARAGNO LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 4745 SUTTON PARK CT 802
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City | JACKSONVILLE
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State | FL
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Zip | 32224-0250
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Country | US
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Telephone | 904-269-1774
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Fax |
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Provider Business Mailing Address
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Address Line | 8375 A1A S
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-8402
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Country | US
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Telephone | 904-377-6645
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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 | MH2223
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License Number State | FL
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