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General NPI Number Information
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NPI Number | 1154891422
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Entity Type | Organization
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Legal Business Name | THE UNITED STATES FIRE DEPARTMENT RESERVE CORPS, INC.
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 4700 MILLENIA BLVD STE 175
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City | ORLANDO
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State | FL
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Zip | 32839-6015
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Country | US
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Telephone | 132-133-2710
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Fax | 866-493-0920
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Provider Business Mailing Address
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Address Line | 4700 MILLENIA BLVD STE 175
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City | ORLANDO
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State | FL
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Zip | 32839-6015
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Country | US
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Telephone | 132-133-2710
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Fax | 866-493-0920
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Authorized Official
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Title or Position | CEO/NCMDR
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Name | CARMELO BAEZ
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Credential |
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Telephone | 321-332-7100
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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