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General NPI Number Information
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NPI Number | 1861669673
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Entity Type | Individual
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Provider Name | BERTHA JANINA GIRON M.A.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 3521 W BROWARD BLVD FL 3
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1048
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Country | US
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Telephone | 954-707-7862
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Fax |
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Provider Business Mailing Address
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Address Line | 3521 W BROWARD BLVD, 3RD FLOOR
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312
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Country | US
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Telephone | 954-707-7862
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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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