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General NPI Number Information
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NPI Number | 1134822968
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Entity Type | Organization
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Legal Business Name | CATHY SALMONS LCSW PLLC
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 240 N PENNSYLVANIA AVE STE 202
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City | WINTER PARK
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State | FL
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Zip | 32789-3766
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Country | US
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Telephone | 802-345-6687
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 MOHICAN TRL
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City | MAITLAND
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State | FL
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Zip | 32751-3717
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Country | US
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Telephone | 802-345-6687
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHY SALMON
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Credential | LCSW
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Telephone | 802-345-6687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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