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General NPI Number Information
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NPI Number | 1487970703
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Entity Type | Individual
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Provider Name | ARTHUR LEE BAIN LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 1621 N. DIXIE HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33305-3138
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Country | US
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Telephone | 954-368-6986
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Fax | 954-668-6987
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Provider Business Mailing Address
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Address Line | 1621 N. DIXIE HWY 646 W. PALM DR.
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City | FORT LAUDERDALE
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State | FL
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Zip | 33305-3138
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Country | US
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Telephone | 954-368-6986
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Fax | 954-368-6987
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH9757
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License Number State | FL
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