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General NPI Number Information
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NPI Number | 1083765788
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Entity Type | Individual
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Provider Name | DENISE LISA MYERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 6735 CONROY RD STE 405
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City | ORLANDO
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State | FL
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Zip | 32835-3567
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Country | US
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Telephone | 407-984-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 13706 BRESSLER ALY
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City | WINDERMERE
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State | FL
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Zip | 34786-7442
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Country | US
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Telephone | 407-617-7683
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SW6757
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License Number State | FL
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