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General NPI Number Information
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NPI Number | 1336440742
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Entity Type | Individual
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Provider Name | ADRIANA ANGELA RUEDA-BARRERA MS, NCC. LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 2500 W LAKE MARY BLVD STE 103
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City | LAKE MARY
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State | FL
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Zip | 32746-3501
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Country | US
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Telephone | 407-620-0598
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Fax | 321-926-3048
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Provider Business Mailing Address
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Address Line | 719 TREELINE PL
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City | SANFORD
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State | FL
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Zip | 32771-7101
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Country | US
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Telephone | 407-620-0598
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Fax | 407-960-3686
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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 | MH 12023
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License Number State | FL
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