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General NPI Number Information
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NPI Number | 1568005841
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Entity Type | Individual
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Provider Name | HELEN THERESE MARIA REYNOLDS LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/19/2019
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1421 SE 4TH AVE FL 1
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1900
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Country | US
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Telephone | 954-616-5088
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 SW 11TH ST
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City | PLANTATION
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State | FL
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Zip | 33317-4805
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Country | US
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Telephone | 954-279-0994
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3443
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License Number State | FL
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