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General NPI Number Information
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NPI Number | 1740729573
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Entity Type | Organization
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Legal Business Name | DEBORAH DYKES-HOWE
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 2830 NW 41ST ST SUITE J
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City | GAINESVILLE
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State | FL
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Zip | 32606-6667
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Country | US
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Telephone | 352-373-5115
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Fax | 352-692-0004
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Provider Business Mailing Address
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Address Line | 2830 NW 41ST ST SUITE J
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City | GAINESVILLE
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State | FL
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Zip | 32606-6667
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Country | US
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Telephone | 352-373-5115
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Fax | 352-692-0004
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DEBORAH DYKES-HOWE
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Credential | ED.S., LMHC
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Telephone | 352-373-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH10249
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License Number State | FL
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