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General NPI Number Information
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NPI Number | 1083919260
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Entity Type | Individual
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Provider Name | ELICIA GARCIA M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 1035 S STATE ROAD 7 STE 209
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City | WELLINGTON
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State | FL
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Zip | 33414-6136
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Country | US
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Telephone | 561-448-1632
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 CLINGING VINE PL
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5066
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Country | US
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Telephone | 407-310-2773
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH12029
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License Number State | FL
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