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General NPI Number Information
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NPI Number | 1003095779
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Entity Type | Organization
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Legal Business Name | PAUL WEISEMANN PROFESSIONAL CHRISTIAN COUNSELING LLC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 138 E BLOOMINGDALE AVE
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City | BRANDON
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State | FL
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Zip | 33511-8101
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Country | US
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Telephone | 813-643-2600
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Fax | 813-643-2600
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Provider Business Mailing Address
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Address Line | 138 E BLOOMINGDALE AVE
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City | BRANDON
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State | FL
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Zip | 33511-8101
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Country | US
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Telephone | 813-643-2600
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Fax | 813-643-2600
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Authorized Official
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Title or Position | DIRECTOR/THERAPIST
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Name | MR. PAUL M WEISEMANN
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Credential | M.A. LMHC
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Telephone | 813-643-2600
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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 |
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License Number State |
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