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General NPI Number Information
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NPI Number | 1205452380
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Entity Type | Organization
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Legal Business Name | COMMUNITY FAMILY COUNSELING INC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 29144 CHAPEL PARK DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-4404
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Country | US
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Telephone | 845-238-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 7986 LAGO MIST WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-4889
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Country | US
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Telephone | 845-238-9990
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Fax |
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Authorized Official
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Title or Position | PASTORAL/COUNSELOR
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Name | MRS. MARTHA TAPIA
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Credential |
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Telephone | 845-238-9990
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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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