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General NPI Number Information
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NPI Number | 1811318173
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Entity Type | Individual
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Provider Name | JOAN NODZON LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 2451 N MCMULLEN BOOTH RD STE 220
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City | CLEARWATER
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State | FL
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Zip | 33759-1362
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Country | US
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Telephone | 727-457-1000
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Fax | 727-725-0389
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Provider Business Mailing Address
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Address Line | 2451 N MCMULLEN BOOTH RD STE 220
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City | CLEARWATER
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State | FL
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Zip | 33759-1362
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Country | US
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Telephone | 727-457-1000
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Fax | 727-725-0389
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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 | MH12233
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License Number State | FL
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