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General NPI Number Information
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NPI Number | 1023269685
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Entity Type | Organization
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Legal Business Name | DISCOVERY COUNSELING OF ORLANDO, INC.
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 320 CROWN OAK CENTRE DR
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City | LONGWOOD
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State | FL
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Zip | 32750-6149
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Country | US
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Telephone | 407-761-8383
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Fax | 407-574-2763
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Provider Business Mailing Address
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Address Line | 575 FIRST CAPE CORAL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5925
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Country | US
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Telephone | 407-761-8383
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Fax | 407-574-2763
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Authorized Official
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Title or Position | OFFICER
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Name | MR. ANDREW PAUL BLANCHARD
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Credential | MA, LMHC, NCC
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Telephone | 407-761-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH 8257
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License Number State | FL
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