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General NPI Number Information
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NPI Number | 1548701428
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Entity Type | Individual
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Provider Name | NATASHA NESIC MA., RMHCI, AT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 100 BAYVIEW DR APT 1528
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-5326
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Country | US
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Telephone | 786-333-9097
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BAYVIEW DR APT 1528
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-5326
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Country | US
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Telephone | 786-333-9097
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | IMH15880
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 18-022
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH18239
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License Number State | FL
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