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General NPI Number Information
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NPI Number | 1477832129
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Entity Type | Individual
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Provider Name | CYNTHIA R KRETSCHMER LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 06/29/2015
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Provider Practice Location Address
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Address Line | 2700 PGA BLVD STE 202A
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2958
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Country | US
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Telephone | 561-797-9909
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Fax | 561-328-7622
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Provider Business Mailing Address
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Address Line | 111 MILBRIDGE DR
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City | JUPITER
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State | FL
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Zip | 33458-3027
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Country | US
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Telephone | 561-797-9909
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Fax | 561-328-7622
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401002942
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH10438
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License Number State | FL
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