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General NPI Number Information
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NPI Number | 1316851918
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Entity Type | Organization
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Legal Business Name | BECCA ELIZABETH COUNSELING LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 11070 NELLIE CROSSING CIR
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City | CLERMONT
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State | FL
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Zip | 34711-8454
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Country | US
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Telephone | 570-351-2856
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Fax |
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Provider Business Mailing Address
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Address Line | 11070 NELLIE CROSSING CIR
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City | CLERMONT
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State | FL
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Zip | 34711-8454
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Country | US
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Telephone | 570-351-2856
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Fax |
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Authorized Official
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Title or Position | OWENER
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Name | REBECCA KASHUBA
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Credential | LCSW
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Telephone | 570-351-2856
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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 | NULL
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