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General NPI Number Information
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NPI Number | 1083056808
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Entity Type | Organization
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Legal Business Name | MCGUIRE CLINICAL SOCIAL WORK SERVICES, INC
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 236 PASADENA PL
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City | ORLANDO
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State | FL
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Zip | 32803-3828
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Country | US
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Telephone | 321-594-8815
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Fax | 407-442-3710
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Provider Business Mailing Address
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Address Line | 4259 KENDRICK RD
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City | ORLANDO
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State | FL
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Zip | 32804-2210
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Country | US
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Telephone | 321-594-8815
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Fax | 407-442-3710
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRISCILLA MCGUIRE
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Credential | LCSW
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Telephone | 321-594-8815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10549
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License Number State | FL
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