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General NPI Number Information
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NPI Number | 1578886016
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Entity Type | Individual
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Provider Name | JANINE TERESE RIBEIRO CHOW-QUAN L.M.H.C
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Gender | Female
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 3538 S UNIVERSITY DR PRIMARY PRACTICE LOCATION
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City | DAVIE
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State | FL
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Zip | 33328-2003
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Country | US
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Telephone | 954-424-6916
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 SW 171ST AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-4581
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Country | US
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Telephone | 954-798-1073
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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 | MH 9723
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License Number State | FL
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