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General NPI Number Information
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NPI Number | 1437792660
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Entity Type | Individual
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Provider Name | DIANE CHRISTINE POEHLMAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 5066 KARRIKER CT # 0
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City | INDIAN LAND
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State | SC
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Zip | 29707-7482
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Country | US
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Telephone | 561-704-6961
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Fax |
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Provider Business Mailing Address
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Address Line | 5066 KARRIKER CT # 0
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City | INDIAN LAND
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State | SC
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Zip | 29707-7482
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Country | US
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Telephone | 561-704-6961
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH5868
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License Number State | FL
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