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General NPI Number Information
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NPI Number | 1013729599
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Entity Type | Organization
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Legal Business Name | HAKUNA MATATA PSYCHIATRY AND COUNSELING
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 111 N ORANGE AVE STE 800
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City | ORLANDO
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State | FL
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Zip | 32801-2381
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Country | US
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Telephone | 850-687-5990
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Fax |
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Provider Business Mailing Address
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Address Line | 127 W. FAIRBANKS AVE PMB# 526
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City | WINTER PARK
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State | FL
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Zip | 32789
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Country | US
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Telephone | 850-687-5990
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Fax |
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Authorized Official
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Title or Position | COO
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Name | LIBANESSA PICHARDO
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Credential | RN
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Telephone | 850-687-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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