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General NPI Number Information
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NPI Number | 1588403901
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Entity Type | Individual
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Provider Name | JAMES ELIOT NUNEZ RMHCI
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Gender | Male
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 5789 CAPE HARBOUR DR STE 201
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City | CAPE CORAL
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State | FL
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Zip | 33914-8607
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Country | US
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Telephone | 239-747-3328
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Fax |
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Provider Business Mailing Address
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Address Line | 2306 SW 19TH ST
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City | CAPE CORAL
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State | FL
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Zip | 33991-3010
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Country | US
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Telephone | 239-219-3110
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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 | IMH25743
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License Number State | FL
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