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NPI 1689529679

NPI 1689529679 : JOYCE DESPRES : WILTON MANORS, FL

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General NPI Number Information
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    NPI Number           |    1689529679
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    Entity Type          |    Individual 
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    Provider Name        |    JOYCE DESPRES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/04/2026
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    871 W OAKLAND PARK BLVD 
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    City                 |    WILTON MANORS
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    State                |    FL
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    Zip                  |    33311-1731
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    Country              |    US
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    Telephone            |    954-567-7141
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3709 CLEVELAND ST 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-4924
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    Country              |    US
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    Telephone            |    
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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       |    IMH29063
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    License Number State |    FL
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