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General NPI Number Information
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NPI Number | 1184775462
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Entity Type | Individual
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Provider Name | WILLIAM BAZAREWSKI L.M.H.C.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2298 W AIRPORT BLVD
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City | SANFORD
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State | FL
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Zip | 32771-3084
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Country | US
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Telephone | 407-268-4441
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Fax | 407-323-2374
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Provider Business Mailing Address
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Address Line | 3160 TOWN AND COUNTRY RD
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City | OVIEDO
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State | FL
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Zip | 32766-8856
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Country | US
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Telephone | 407-760-2675
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Fax | 407-323-2374
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH5437
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH5437
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License Number State | FL
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