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General NPI Number Information
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NPI Number | 1033350111
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Entity Type | Organization
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Legal Business Name | BUHAIN, BUHAIN & CARR
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 1910 GADSEN BLVD
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City | ORLANDO
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State | FL
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Zip | 32812-8541
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Country | US
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Telephone | 407-574-8123
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Fax | 407-403-6713
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Provider Business Mailing Address
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Address Line | 1910 GADSEN BLVD
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City | ORLANDO
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State | FL
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Zip | 32812-8541
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Country | US
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Telephone | 407-574-8123
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Fax | 407-403-6713
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Authorized Official
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Title or Position | FOUNDER / CHIEF EXECUTIVE OFFICER
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Name | MR. DYLAN JOHN BUHAIN
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Credential | M.S.
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Telephone | 407-574-8123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4433
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License Number State | FL
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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 | MH8481
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License Number State | FL
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