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General NPI Number Information
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NPI Number | 1881729234
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Entity Type | Individual
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Provider Name | MONICA T. CRESPO LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 12745 MAYPAN DR
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City | BOCA RATON
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State | FL
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Zip | 33428-4782
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Country | US
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Telephone | 786-722-8562
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Fax |
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Provider Business Mailing Address
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Address Line | 37 WEISNER PKWY
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City | METHUEN
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State | MA
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Zip | 01844-5937
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Country | US
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Telephone | 978-397-6939
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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 | 19278
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License Number State | FL
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