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General NPI Number Information
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NPI Number | 1134433014
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Entity Type | Individual
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Provider Name | NAKESHIA Y MCGRUDER MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4000 CENTRAL FLORIDA BLVD
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City | ORLANDO
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State | FL
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Zip | 32816-8005
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Country | US
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Telephone | 386-546-5851
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 SE MARICAMP RD UNIT 104
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City | OCALA
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State | FL
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Zip | 34471-6201
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Country | US
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Telephone |
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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 | SW14962
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License Number State | FL
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