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General NPI Number Information
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NPI Number | 1154613396
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Entity Type | Organization
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Legal Business Name | JENNIFER J. FERRELL-HANINGTON, PSY,D., P.A.
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 125 W PINEVIEW ST SUITE 1005
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2007
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Country | US
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Telephone | 407-347-4188
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Fax |
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Provider Business Mailing Address
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Address Line | 125 W PINEVIEW ST SUITE 1005
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2007
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Country | US
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Telephone | 407-347-4188
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER JEAN FERRELL HANINGTON
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Credential | PSY.D.
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Telephone | 407-347-4188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY5044
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License Number State | FL
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