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General NPI Number Information
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NPI Number | 1831831148
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Entity Type | Individual
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Provider Name | STEFANIE STAUBER MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 6919 SW 18TH ST STE 201
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City | BOCA RATON
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State | FL
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Zip | 33433-7010
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Country | US
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Telephone | 561-571-1557
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Fax |
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Provider Business Mailing Address
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Address Line | 34 SE SAILFISH LN
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City | STUART
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State | FL
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Zip | 34996-1310
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Country | US
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Telephone | 772-341-5255
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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 | MH20913
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 19818
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License Number State | FL
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