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General NPI Number Information
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NPI Number | 1578849253
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Entity Type | Individual
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Provider Name | CORINNE H GREENBERG LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 3601 SW 2ND AVE SUITE X
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City | GAINESVILLE
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State | FL
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Zip | 32607-2803
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Country | US
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Telephone | 352-538-0792
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Fax |
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Provider Business Mailing Address
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Address Line | 8107 SW 43RD PL
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City | GAINESVILLE
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State | FL
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Zip | 32608-4224
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Country | US
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Telephone | 352-335-9158
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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 | MH4538
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License Number State | FL
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