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General NPI Number Information
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NPI Number | 1730581679
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Entity Type | Individual
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Provider Name | JAMIE SUE WEISS ,PHD, MA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 3275 W HILLSBORO BLVD STE 300
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9474
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Country | US
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Telephone | 615-213-6327
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Fax | 561-516-8087
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Provider Business Mailing Address
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Address Line | 3275 W HILLSBORO BLVD STE 300
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9474
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Country | US
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Telephone | 615-213-6327
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Fax | 561-516-8077
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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 | MT2947
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License Number State | FL
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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 |
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License Number State | FL
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