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General NPI Number Information
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NPI Number | 1659852390
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Entity Type | Individual
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Provider Name | DYLAN ROSENBERG NIEVES PALMA M.S.;LCPC;LPC;LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1210 MILLENNIUM PKWY STE 1037
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City | BRANDON
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State | FL
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Zip | 33511-4861
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Country | US
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Telephone | 656-233-3137
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 MILLENNIUM PKWY STE 1037
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City | BRANDON
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State | FL
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Zip | 33511-4861
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Country | US
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Telephone | 340-514-8181
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0-62828-1B
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License Number State | VI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701013864
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC200001334
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC10515
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH18345
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License Number State | FL
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