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General NPI Number Information
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NPI Number | 1275153330
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Entity Type | Organization
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Legal Business Name | FREE SPIRIT COUNSELING LLC
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Dates
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Enumeration Date | 04/19/2020
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 612 E COLONIAL DR STE 390
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City | ORLANDO
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State | FL
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Zip | 32803-4650
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Country | US
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Telephone | 858-255-4380
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Fax | 409-209-0289
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Provider Business Mailing Address
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Address Line | 7252 LAKE FLOY CIR
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City | ORLANDO
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State | FL
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Zip | 32819-7427
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Country | US
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Telephone | 607-229-8788
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Fax | 407-209-0289
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Authorized Official
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Title or Position | OWNER
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Name | DORRIT RAM
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Credential | LCSW
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Telephone | 858-255-4380
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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 |
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License Number State |
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