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General NPI Number Information
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NPI Number | 1548502271
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Entity Type | Individual
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Provider Name | DANIELLE LABONTE
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 16418 HILLSIDE CIR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5300
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Country | US
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Telephone | 860-208-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 8429 LORRAINE RD STE 104
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-9010
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Country | US
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Telephone | 860-208-0818
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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 | MH18142
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License Number State | FL
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