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General NPI Number Information
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NPI Number | 1609271170
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Entity Type | Organization
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Legal Business Name | A.E. HUNTER COUNSELING & MEDIATION SERVICES, LLC
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 5491 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4644
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Country | US
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Telephone | 954-701-0940
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Fax |
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Provider Business Mailing Address
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Address Line | 8336 NW 80TH ST
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City | TAMARAC
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State | FL
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Zip | 33321-1628
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Country | US
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Telephone | 954-701-0940
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DR. ANGELA L EXUM-HUNTER
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Credential | PH.D
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Telephone | 954-701-0940
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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 | IMH9225
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License Number State | FL
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