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General NPI Number Information
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NPI Number | 1376829440
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Entity Type | Organization
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Legal Business Name | CYNTHIA KRETSCHMER, LLC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 06/29/2015
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Provider Practice Location Address
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Address Line | 2700 PGA BLVD SUITE 202A
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2958
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Country | US
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Telephone | 561-797-9909
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 PGA BLVD SUITE 202A
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2958
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Country | US
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Telephone | 561-797-9909
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA R KRETSCHMER
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Credential | LMHC
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Telephone | 561-797-9909
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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 | MH10438
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License Number State | FL
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