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General NPI Number Information
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NPI Number | 1467329060
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Entity Type | Organization
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Legal Business Name | SUSAN KLEMMER LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 595 SEA OATS DR
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City | SANIBEL
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State | FL
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Zip | 33957-5416
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Country | US
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Telephone | 571-206-4848
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | SANIBEL
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State | FL
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Zip | 33957-0132
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Country | US
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Telephone | 703-568-3708
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | SUSAN KLEMMER
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Credential | LMHC, NCC
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Telephone | 703-568-3708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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