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General NPI Number Information
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NPI Number | 1669901344
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Entity Type | Individual
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Provider Name | LORENA V DOCARMO MASTER IN SCIENSE
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 06/07/2017
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Provider Practice Location Address
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Address Line | 18503 PINES BLVD STE 308
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1406
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Country | US
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Telephone | 954-239-8959
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Fax | 954-391-7602
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Provider Business Mailing Address
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Address Line | 8630 NW 51ST ST
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City | LAUDERHILL
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State | FL
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Zip | 33351-4827
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Country | US
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Telephone | 954-608-4198
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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 |
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License Number State |
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