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General NPI Number Information
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NPI Number | 1255686630
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Entity Type | Organization
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Legal Business Name | FIRST STEP COUNSELING OF ORLANDO, LLC.
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 380 S STATE ROAD 434 SUITE 1004-218
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3810
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Country | US
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Telephone | 321-355-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 380 S STATE ROAD 434 SUITE 1004-218
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3810
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Country | US
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Telephone | 321-355-3772
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KRISHNA PANCHAL
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Credential | LMHC
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Telephone | 407-310-8523
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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 | MH10268
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License Number State | FL
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