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General NPI Number Information
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NPI Number | 1053100016
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Entity Type | Organization
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Legal Business Name | D B PATHS LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 165 WELLS RD STE 203
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City | ORANGE PARK
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State | FL
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Zip | 32073-3036
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Country | US
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Telephone | 904-269-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 3776 FENWICK ISLAND DR
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City | JACKSONVILLE
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State | FL
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Zip | 32224-7963
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Country | US
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Telephone | 904-269-3522
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DORIS BENREY-BOGUSLAVSKY
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Credential | LMHC
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Telephone | 904-269-3522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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