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General NPI Number Information
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NPI Number | 1316967201
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Entity Type | Individual
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Provider Name | ORLANDO JULIAN GONZALEZ MSED, LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11645 BISCAYNE BLVD STE 307F
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3139
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Country | US
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Telephone | 305-891-2047
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 NE 105TH ST APT 305
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2148
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Country | US
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Telephone | 305-733-7939
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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 | MH0004148
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License Number State | FL
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