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General NPI Number Information
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NPI Number | 1255464442
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Entity Type | Organization
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Legal Business Name | BRENDA J. SINGROSSI
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 120 W 6TH AVE
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City | WINDERMERE
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State | FL
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Zip | 34786-3525
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Country | US
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Telephone | 407-230-6627
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 822
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City | GOTHA
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State | FL
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Zip | 34734-0822
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Country | US
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Telephone | 407-230-6627
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | DR. BRENDA JEAN SINGROSSI
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Credential | PH.D., LMHC
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Telephone | 407-230-6627
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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 | MH5844
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License Number State | FL
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