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General NPI Number Information
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NPI Number | 1609415967
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Entity Type | Individual
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Provider Name | COURTNEY KALINOWSKI LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 3577 SW CORPORATE PKWY
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City | PALM CITY
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State | FL
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Zip | 34990-8153
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Country | US
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Telephone | 772-485-5475
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Fax |
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Provider Business Mailing Address
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Address Line | 7745 SE BAY CEDAR CIR
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City | HOBE SOUND
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State | FL
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Zip | 33455-7829
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Country | US
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Telephone | 561-951-9506
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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 | 19197
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License Number State | FL
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