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General NPI Number Information
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NPI Number | 1245846732
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Entity Type | Organization
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Legal Business Name | CENTER POINT MENTAL WELLNESS AND TESTING SERVICES, INC.
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Dates
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Enumeration Date | 09/20/2020
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Last Update Date | 09/20/2020
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Provider Practice Location Address
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Address Line | 2940 E PARK AVE STE 2C
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3446
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Country | US
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Telephone | 850-901-3311
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Fax | 833-244-1012
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Provider Business Mailing Address
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Address Line | PO BOX 13212
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City | TALLAHASSEE
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State | FL
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Zip | 32317-3212
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Country | US
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Telephone | 850-901-3311
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL LUKE FIORAMONTI
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Credential | PHD
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Telephone | 850-901-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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