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General NPI Number Information
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NPI Number | 1336303676
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Entity Type | Organization
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Legal Business Name | ORLANDO FAMILY COUNSELING, INC.
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 467 LAKE HOWELL ROAD SUITE 111
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City | MAITLAND
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State | FL
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Zip | 32751
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Country | US
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Telephone | 407-929-9987
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 MCINTOSH WAY
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City | MAITLAND
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State | FL
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Zip | 32751-4005
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Country | US
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Telephone | 407-929-9987
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Fax | 407-644-4743
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SYLVIA S. ROAN
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Credential | LCSW
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Telephone | 407-644-1734
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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 |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW5237
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License Number State | FL
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