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General NPI Number Information
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NPI Number | 1164772786
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Entity Type | Organization
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Legal Business Name | ANEW COUNSELING
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 50 LEANNI WAY UNIT B3
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City | PALM COAST
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State | FL
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Zip | 32137-4754
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Country | US
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Telephone | 386-334-3777
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Fax | 386-283-5900
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Provider Business Mailing Address
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Address Line | 50 LEANNI WAY UNIT B3
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City | PALM COAST
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State | FL
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Zip | 32137-4754
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Country | US
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Telephone | 386-334-3777
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Fax | 386-283-5900
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS SIBEL NESLIN GUELSEREN
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Credential | M.ED./ED.S
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Telephone | 386-334-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2120
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License Number State | FL
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