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General NPI Number Information
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NPI Number | 1730323569
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Entity Type | Individual
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Provider Name | SUSAN POMERANZ L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 23105 BOCA CLUB COLONY CIR S
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City | BOCA RATON
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State | FL
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Zip | 33433-3901
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Country | US
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Telephone | 561-702-7588
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Fax | 561-465-2876
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Provider Business Mailing Address
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Address Line | 23105 BOCA CLUB COLONY CIR
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City | BOCA RATON
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State | FL
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Zip | 33433-3901
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Country | US
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Telephone | 561-702-7588
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Fax | 561-465-2876
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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 | MH5224
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License Number State | FL
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