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General NPI Number Information
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NPI Number | 1215186788
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL AND COUNSELING CONSULTANTS INC
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 304 N MERIDIAN ST
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City | TALLAHASSEE
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State | FL
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Zip | 32301-7634
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Country | US
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Telephone | 850-656-6971
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Fax |
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Provider Business Mailing Address
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Address Line | 711 KENILWORTH RD
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City | TALLAHASSEE
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State | FL
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Zip | 32312-3045
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Country | US
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Telephone | 850-545-6331
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Fax | 850-386-9429
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Authorized Official
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Title or Position | OWNER
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Name | DR. LANCE D SCALF
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Credential | PH, D.
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Telephone | 850-656-6971
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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 | PY-3100
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License Number State | FL
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