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General NPI Number Information
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NPI Number | 1538501606
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Entity Type | Individual
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Provider Name | LIANE GERLACH
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Gender | Female
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 431 E CENTRAL BLVD APT 505
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City | ORLANDO
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State | FL
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Zip | 32801-1904
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Country | US
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Telephone | 516-924-3485
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Fax |
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Provider Business Mailing Address
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Address Line | 9015 PRAIRIE CROSSING DR
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City | CALEDONIA
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State | WI
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Zip | 53126-9394
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Country | US
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Telephone |
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Fax |
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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 | PMH1115
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11230-125
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License Number State | WI
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