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General NPI Number Information
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NPI Number | 1457522062
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Entity Type | Organization
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Legal Business Name | DEBORAH S. ANICAMA, M. ED., LMHC, P.A.
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Dates
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Enumeration Date | 03/22/2008
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 5441 N UNIVERSITY DR SUITE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4640
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Country | US
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Telephone | 954-415-6539
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Fax | 954-340-0441
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Provider Business Mailing Address
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Address Line | 5441 N UNIVERSITY DR SUITE 102
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4640
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Country | US
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Telephone | 954-415-6539
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Fax | 954-340-0441
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/ PRESIDENT
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Name | MS. DEBORAH S. ANICAMA
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Credential | M. ED., LMHC,
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Telephone | 954-415-6539
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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 | MH 6834
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License Number State | FL
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