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General NPI Number Information
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NPI Number | 1386874980
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Entity Type | Individual
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Provider Name | KITY DINORAH LABORIEL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 7476 NW 18TH DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1008
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Country | US
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Telephone | 954-964-2925
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Fax |
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Provider Business Mailing Address
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Address Line | 7476 NW 18TH DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1008
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Country | US
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Telephone | 954-964-2925
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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 | PY7215
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PY7215
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY7215
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY7215
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7215
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY7215
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PY7215
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License Number State | FL
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