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General NPI Number Information
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NPI Number | 1255784369
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Entity Type | Organization
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Legal Business Name | FLORIDA PARTNERS IN THERAPY LLC
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 1845 PUTNEY CIR
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City | ORLANDO
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State | FL
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Zip | 32837-6318
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Country | US
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Telephone | 407-421-6518
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Fax |
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Provider Business Mailing Address
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Address Line | 2475 ALOMA AVE STE 204
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-421-6518
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CHERYL ENTNER
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Credential | LMHC
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Telephone | 407-421-6518
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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 | MH11236
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License Number State | FL
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