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General NPI Number Information
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NPI Number | 1750747358
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Entity Type | Individual
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Provider Name | EMILY REGINA PINEYRO LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 2828 S SEACREST BLVD SUITE 211
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7944
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Country | US
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Telephone | 561-910-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 3715 CANTERBURY WAY
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City | BOCA RATON
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State | FL
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Zip | 33434-3355
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Country | US
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Telephone | 561-910-0234
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH13453
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License Number State | FL
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