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General NPI Number Information
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NPI Number | 1699325829
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Entity Type | Individual
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Provider Name | MARIE G LABRANCHE LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 100 VILLAGE SQUARE XING STE 105
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4531
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Country | US
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Telephone | 561-463-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 2944 HIDDEN HILLS RD APT 1602
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City | WEST PALM BCH
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State | FL
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Zip | 33411-4827
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Country | US
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Telephone | 561-932-3027
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 3693
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License Number State | FL
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