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General NPI Number Information
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NPI Number | 1407062086
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Entity Type | Individual
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Provider Name | JUDY L. COUWELS MA,, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 801 SW 9TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33486-5449
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Country | US
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Telephone | 561-210-0745
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Fax | 561-245-3335
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Provider Business Mailing Address
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Address Line | 801 SW 9TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33486-5449
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Country | US
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Telephone | 954-321-4180
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Fax | 954-321-4597
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1110
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License Number State | FL
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