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General NPI Number Information
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NPI Number | 1962649087
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Entity Type | Individual
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Provider Name | CLARA ANN HARBURG LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 3402 MAGIC OAK LN
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City | SARASOTA
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State | FL
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Zip | 34232-1812
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Country | US
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Telephone | 941-776-1578
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Fax | 941-776-1578
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Provider Business Mailing Address
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Address Line | 93436 BROOKRIDGE LANE
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City | PARRISH
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State | FL
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Zip | 34219-9300
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Country | US
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Telephone | 941-776-1578
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Fax | 941-776-1578
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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 | MH004127
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License Number State | FL
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