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General NPI Number Information
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NPI Number | 1851543730
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Entity Type | Individual
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Provider Name | NICOLE PFEFFLE LONANO M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 2897 SE MONROE ST
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City | STUART
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State | FL
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Zip | 34997-5914
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Country | US
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Telephone | 772-834-0834
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Fax |
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Provider Business Mailing Address
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Address Line | 1992 SW LEWIS ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2084
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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