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General NPI Number Information
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NPI Number | 1992036198
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Entity Type | Individual
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Provider Name | MARITSA YZAGUIRRE-KELLEY LMHC, MCAP, CMHP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 7375 N STATE ROAD 7
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City | PARKLAND
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State | FL
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Zip | 33073-4527
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Country | US
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Telephone | 754-812-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 6919 SW 18TH ST
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City | BOCA RATON
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State | FL
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Zip | 33433-7010
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Country | US
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Telephone | 754-200-9971
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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 | 10003428
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License Number State | MA
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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 | 6791
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11108
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License Number State | FL
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