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General NPI Number Information
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NPI Number | 1871630087
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Entity Type | Individual
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Provider Name | JANE F DYE LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1401 N FEDERAL HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-1942
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Country | US
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Telephone | 561-371-8303
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Fax | 561-582-2367
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Provider Business Mailing Address
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Address Line | 105 N GOLFVIEW RD APT 3
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City | LAKE WORTH
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State | FL
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Zip | 33460-3546
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Country | US
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Telephone | 561-582-2367
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Fax | 561-582-2367
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT 1693
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License Number State | FL
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