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General NPI Number Information
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NPI Number | 1710248075
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Entity Type | Individual
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Provider Name | LINDA MONIQUE BERT MA, LMFT, CAAP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 8760 SW 21ST CT
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City | OCALA
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State | FL
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Zip | 34476-6732
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Country | US
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Telephone | 352-389-5417
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Fax | 714-333-4407
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Provider Business Mailing Address
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Address Line | 8760 SW 21ST CT
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City | OCALA
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State | FL
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Zip | 34476-6732
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Country | US
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Telephone | 352-389-5417
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Fax | 714-333-4407
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT96137
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3876
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License Number State | FL
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