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General NPI Number Information
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NPI Number | 1801760384
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Entity Type | Individual
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Provider Name | MRS. DIANA ELIZABETH LEGON
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 15200 S JOG RD STE 303
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City | DELRAY BEACH
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State | FL
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Zip | 33446-1249
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Country | US
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Telephone | 561-774-8225
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Fax |
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Provider Business Mailing Address
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Address Line | 3840 NW 7TH AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-5056
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Country | US
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Telephone | 954-999-8747
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4469
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License Number State | FL
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