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General NPI Number Information
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NPI Number | 1275071573
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Entity Type | Organization
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Legal Business Name | ENCOMPASS BEHAVIOR AND WELLNESS SERVICES,LLC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 2957 W SR 434 SUITE 100
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City | LONGWOOD
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State | FL
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Zip | 32779-4453
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Country | US
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Telephone | 407-271-4911
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Fax |
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Provider Business Mailing Address
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Address Line | 5324 WINDRIDGE LN
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City | ORLANDO
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State | FL
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Zip | 32810-2723
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Country | US
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Telephone | 407-271-4911
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. PAMELA K ROWE
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Credential | MA,CCC-SLP
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Telephone | 407-271-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | 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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