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General NPI Number Information
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NPI Number | 1265752448
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Entity Type | Organization
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Legal Business Name | INNER STRENGTH COUNSELING LLC
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 801 W BAY DR SUITE 422
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City | LARGO
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State | FL
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Zip | 33770-3269
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Country | US
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Telephone | 727-418-0735
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Fax | 866-706-0538
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Provider Business Mailing Address
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Address Line | 1425 HILL DR
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City | LARGO
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State | FL
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Zip | 33770-4605
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Country | US
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Telephone | 727-418-0735
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Fax | 866-706-0538
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Authorized Official
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Title or Position | SOLE MBR
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Name | ELEANOR F SALEMI
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Credential | LCSW
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Telephone | 727-418-0735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW9620
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License Number State | FL
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