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General NPI Number Information
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NPI Number | 1215394846
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Entity Type | Organization
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Legal Business Name | A DAY AT A TIME COUNSELING
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 6220 S ORANGE BLOSSOM TRL SUITE 191
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City | ORLANDO
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State | FL
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Zip | 32809-4630
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Country | US
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Telephone | 407-850-2116
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Fax |
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Provider Business Mailing Address
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Address Line | 6220 S ORANGE BLOSSOM TRL SUITE 191
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City | ORLANDO
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State | FL
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Zip | 32809-4630
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Country | US
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Telephone | 407-850-2116
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. JOHN MAS
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Credential | LCSW
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Telephone | 407-850-2116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 5303
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 5303
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License Number State | FL
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