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General NPI Number Information
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NPI Number | 1609025261
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Entity Type | Individual
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Provider Name | CAREN JILL GLASSMAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 3511 W COMMERCIAL BLVD STE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3322
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Country | US
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Telephone | 954-733-3394
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Fax | 954-733-4483
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Provider Business Mailing Address
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Address Line | 3511 W COMMERCIAL BLVD STE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3322
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Country | US
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Telephone | 954-733-3394
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Fax | 954-733-4483
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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 | MH2998
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License Number State | FL
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