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General NPI Number Information
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NPI Number | 1922971654
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Entity Type | Individual
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Provider Name | SHAYNA DEANN MARCUS
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 650 NW 2ND AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-5809
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Country | US
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Telephone | 305-427-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 24600 SW 129TH AVE UNIT 7
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City | HOMESTEAD
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State | FL
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Zip | 33032-4140
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Country | US
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Telephone | 786-222-9472
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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 |
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License Number State |
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