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General NPI Number Information
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NPI Number | 1326444696
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Entity Type | Organization
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Legal Business Name | ENHANCING LIVES SERVICES
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 5433 NAGAMI DR
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City | WINDERMERE
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State | FL
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Zip | 34786-3163
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Country | US
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Telephone | 407-234-1365
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Fax |
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Provider Business Mailing Address
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Address Line | 5433 NAGAMI DR
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City | WINDERMERE
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State | FL
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Zip | 34786-3163
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Country | US
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Telephone | 407-234-1365
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARON YORKE
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Credential |
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Telephone | 407-234-1365
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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 | SW11570
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License Number State | FL
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