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General NPI Number Information
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NPI Number | 1306498050
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Entity Type | Organization
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Legal Business Name | C. MICHELLE GAWRONSKI COUNSELING LLC
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 7801 QUAIL HOLLOW DR
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32408
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Country | US
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Telephone | 850-819-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 N LAGOON DR
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32408-4545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA GAWRONSKI
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Credential |
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Telephone | 850-819-2070
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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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