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General NPI Number Information
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NPI Number | 1972845956
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Entity Type | Individual
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Provider Name | IONELA LIANA LINDSAY LPC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 3763 EVANS AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-9302
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Country | US
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Telephone | 239-275-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 7165 KOLA TER APT 33
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City | FORT MYERS
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State | FL
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Zip | 33907-7709
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Country | US
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Telephone | 586-215-0998
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401012861
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License Number State | MI
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