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General NPI Number Information
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NPI Number | 1447267398
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Entity Type | Individual
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Provider Name | MAGALY DANTE LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 911 N PARSONS AVE
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City | BRANDON
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State | FL
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Zip | 33510-3139
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Country | US
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Telephone | 561-635-3122
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Fax | 813-864-0137
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | VALRICO
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State | FL
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Zip | 33595-0266
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Country | US
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Telephone | 561-635-3122
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Fax | 813-864-0137
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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 | MH7257
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License Number State | FL
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