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General NPI Number Information
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NPI Number | 1881030757
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Entity Type | Individual
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Provider Name | MAGGIE ZAGOROVA LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2400 E COMMERCIAL BLVD STE 101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4022
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Country | US
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Telephone | 833-769-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 4211 NW 22ND ST
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2014
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Country | US
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Telephone | 646-657-4131
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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 | MH16689
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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 |
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License Number State |
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