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General NPI Number Information
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NPI Number | 1346797149
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Entity Type | Organization
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Legal Business Name | DEBRA E. RODE LMHC, LLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 12555 ORANGE DR SUITE #267
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City | DAVIE
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State | FL
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Zip | 33330-4304
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Country | US
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Telephone | 954-471-5286
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Fax |
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Provider Business Mailing Address
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Address Line | 12555 ORANGE DR SUITE #267
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City | DAVIE
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State | FL
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Zip | 33330-4304
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Country | US
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Telephone | 954-471-5286
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. DEBRA E. RODE
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Credential | L.M.H.C.
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Telephone | 954-471-5286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH3828
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License Number State | FL
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