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General NPI Number Information
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NPI Number | 1467593483
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Entity Type | Individual
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Provider Name | CAROL MESSMORE LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 75 NE 6TH AVE SUITE 218-B
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5435
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Country | US
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Telephone | 561-843-1058
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Fax | 561-243-1828
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Provider Business Mailing Address
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Address Line | 1611 NE 2ND AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33444-4107
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Country | US
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Telephone | 561-843-1058
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Fax | 561-243-1828
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1860
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License Number State | FL
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