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General NPI Number Information
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NPI Number | 1821780537
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Entity Type | Individual
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Provider Name | QUINN LAUREN SMALLEY LMHC, ATR
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 817 SE 6TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3115
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Country | US
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Telephone | 954-560-3987
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Fax |
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Provider Business Mailing Address
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Address Line | 990 VILLA ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1236
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Country | US
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Telephone |
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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 | MH22253
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License Number State | FL
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