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General NPI Number Information
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NPI Number | 1750958443
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Entity Type | Individual
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Provider Name | NICOLE CHRISTINA CARDENAS LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 16 S ORANGE AVE
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City | SARASOTA
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State | FL
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Zip | 34236-5805
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Country | US
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Telephone | 954-544-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 8TH AVE W # 228
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City | PALMETTO
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State | FL
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Zip | 34221-3810
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Country | US
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Telephone | 954-544-1660
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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 | MH18745
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License Number State | FL
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