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General NPI Number Information
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NPI Number | 1336631027
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Entity Type | Individual
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Provider Name | DEMELIZ ALOMAR-SANTIAGO M.S.W
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Gender | Female
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 3800 5TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-2024
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Country | US
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Telephone | 407-846-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 CELEBRATION BLVD APT 303
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City | CELEBRATION
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State | FL
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Zip | 34747-4954
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Country | US
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Telephone | 787-929-2442
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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 | 11544
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License Number State | PR
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