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General NPI Number Information
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NPI Number | 1215891056
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Entity Type | Individual
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Provider Name | NICOLE BARRETT
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 605 E ROBINSON ST STE 710
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City | ORLANDO
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State | FL
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Zip | 32801-2047
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Country | US
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Telephone | 407-579-3779
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Fax |
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Provider Business Mailing Address
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Address Line | 899 LAZIO CIR
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City | DEBARY
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State | FL
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Zip | 32713-4772
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Country | US
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Telephone | 973-349-0114
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 25517
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License Number State | FL
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