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General NPI Number Information
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NPI Number | 1427862499
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Entity Type | Individual
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Provider Name | LEAANNE DERIGNE MSW, PHD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 21301 POWERLINE RD STE 209
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City | BOCA RATON
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State | FL
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Zip | 33433-2390
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Country | US
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Telephone | 561-331-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 531 ANCHOR PT
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City | DELRAY BEACH
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State | FL
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Zip | 33444-1772
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Country | US
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Telephone | 314-341-3000
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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 | ISW21442
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License Number State | FL
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