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General NPI Number Information
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NPI Number | 1326249491
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Entity Type | Organization
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Legal Business Name | EMMAUS COUNSELING CENTER INC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 711 TURNBULL AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6420
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Country | US
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Telephone | 407-740-5575
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Fax | 407-834-0832
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Provider Business Mailing Address
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Address Line | 711 TURNBULL AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6420
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Country | US
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Telephone | 407-740-5575
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Fax | 407-834-0832
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Authorized Official
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Title or Position | DIRECTOR PRESIDENT
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Name | DR. GORDON D HOBBIE
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Credential | LMHC
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Telephone | 407-740-5575
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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 | MH2710
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License Number State | FL
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