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General NPI Number Information
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NPI Number | 1356728422
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Entity Type | Individual
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Provider Name | JEANETTE ESTAPE LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 10300 SW 72ND ST SUITE 275-F
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City | MIAMI
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State | FL
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Zip | 33173-3012
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Country | US
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Telephone | 786-586-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 SUNSET DR SUITE 275-F
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City | MIAMI
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State | FL
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Zip | 33173-3012
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Country | US
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Telephone | 786-586-3788
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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 | MH 12972
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License Number State | FL
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