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General NPI Number Information
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NPI Number | 1457070971
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Entity Type | Organization
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Legal Business Name | DEBORAH RASSO COUNSELING, LLC
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 12798 FOREST HILL BLVD STE 303
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City | VLG WELLINGTN
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State | FL
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Zip | 33414-4704
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Country | US
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Telephone | 561-308-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E RAMBLING DR
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City | WELLINGTON
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State | FL
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Zip | 33414-5010
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Country | US
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Telephone | 561-308-4774
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBORAH L RASSO
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Credential | LMHC
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Telephone | 561-308-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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