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General NPI Number Information
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NPI Number | 1295569895
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Entity Type | Organization
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Legal Business Name | TRASCIENDE PROFESSIONAL GROUP LLC
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 932 E OSCEOLA PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34744-1615
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Country | US
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Telephone | 407-536-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 932 E OSCEOLA PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34744-1615
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Country | US
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Telephone | 407-536-7114
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | GEHISA M NUNEZ
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Credential | BA
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Telephone | 862-300-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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