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General NPI Number Information
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NPI Number | 1114068558
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Entity Type | Organization
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Legal Business Name | HIGHLAND VENTURES, INC.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3877 RECKER HWY SUITE 4
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City | WINTER HAVEN
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State | FL
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Zip | 33880-1900
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Country | US
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Telephone | 863-528-9266
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Fax | 407-654-1542
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Provider Business Mailing Address
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Address Line | 404 MARY ELLEN CT
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City | WINTER GARDEN
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State | FL
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Zip | 34787-2694
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Country | US
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Telephone | 863-528-9266
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Fax | 407-654-1542
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIZABETH PALMER
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Credential | LCSW
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Telephone | 863-528-9266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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