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General NPI Number Information
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NPI Number | 1790018919
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Entity Type | Individual
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Provider Name | DEBORAH ELLEN ANTHONY LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 836 PRUDENTIAL DR STE 1507
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8342
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Country | US
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Telephone | 904-376-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 6000A SAWGRASS VILLAGE CIR STE 6
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City | PONTE VEDRA
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State | FL
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Zip | 32082-5061
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Country | US
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Telephone | 904-200-9945
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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 | MH9332
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License Number State | FL
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