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General NPI Number Information
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NPI Number | 1396915161
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Entity Type | Individual
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Provider Name | TAMI LENTIN STADLEN L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 1152 N UNIVERSITY DR STE 200
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-5012
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Country | US
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Telephone | 954-962-1225
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Fax |
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Provider Business Mailing Address
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Address Line | 15490 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33169-6250
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Country | US
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Telephone | 305-685-8245
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Fax | 305-681-4355
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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 4652
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License Number State | FL
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