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General NPI Number Information
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NPI Number | 1134840366
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Entity Type | Individual
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Provider Name | CELIO C DA CRUZ
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Gender | Male
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 6399 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-7824
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Country | US
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Telephone | 407-668-6025
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Fax |
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Provider Business Mailing Address
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Address Line | 870 STONECHAPEL CT
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City | APOPKA
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State | FL
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Zip | 32712-2341
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Country | US
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Telephone | 140-766-8602
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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