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General NPI Number Information
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NPI Number | 1306781091
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Entity Type | Individual
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Provider Name | MAIA ZOCK-OBREGON
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Gender |
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 478 E ALTAMONTE DR STE 108251
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4628
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Country | US
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Telephone | 786-432-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 15408 SW 50TH TER
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City | MIAMI
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State | FL
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Zip | 33185-4440
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH26664
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License Number State | FL
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