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General NPI Number Information
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NPI Number | 1548788466
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Entity Type | Individual
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Provider Name | SUSAN A RESNIK LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 4308 ALTON RD STE 420
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4557
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Country | US
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Telephone | 786-651-4198
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Fax |
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Provider Business Mailing Address
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Address Line | 570 N SHORE DR
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City | MIAMI BEACH
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State | FL
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Zip | 33141-2432
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Country | US
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Telephone | 786-651-4198
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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 |
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License Number State |
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