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General NPI Number Information
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NPI Number | 1295671212
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Entity Type | Organization
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Legal Business Name | COMING OUT OF THE DARK
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 844 14TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-5316
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Country | US
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Telephone | 727-483-1706
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Fax |
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Provider Business Mailing Address
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Address Line | 844 14TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-5316
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Country | US
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Telephone | 727-483-1706
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELLE CEVOLO
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Credential | CEVOLO
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Telephone | 727-483-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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