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General NPI Number Information
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NPI Number | 1093854929
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Entity Type | Individual
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Provider Name | GARY JAMES FARINAS LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 106 W WINDHORST RD
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City | BRANDON
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State | FL
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Zip | 33510-2455
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Country | US
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Telephone | 813-401-2135
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Fax |
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Provider Business Mailing Address
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Address Line | 11229 GREAT NECK RD
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City | RIVERVIEW
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State | FL
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Zip | 33578-4684
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Country | US
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Telephone | 813-401-2135
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7397
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11023448
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License Number State | FL
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