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General NPI Number Information
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NPI Number | 1245304377
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Entity Type | Individual
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Provider Name | JODEE SUE BUIS LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 711 BALLARD ST
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5441
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Country | US
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Telephone | 407-339-7451
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Fax |
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Provider Business Mailing Address
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Address Line | 2354 RIVERDALE CT
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City | OVIEDO
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State | FL
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Zip | 32765-8641
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Country | US
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Telephone | 407-542-6360
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH5342
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License Number State | FL
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