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General NPI Number Information
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NPI Number | 1588043558
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Entity Type | Individual
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Provider Name | KERRI MORANO LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2015
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 1777 TAMIAMI TRAIL SUITE 303 OFFICE 10
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-7728
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Country | US
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Telephone | 727-344-9639
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 TAMIAMI TRAIL SUITE 303 OFFICE 10
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-7728
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Country | US
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Telephone | 845-489-5277
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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 | 008280
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH18733
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License Number State | FL
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