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General NPI Number Information
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NPI Number | 1336687011
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Entity Type | Organization
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Legal Business Name | DEBORAH R. GOODWIN DBA A NEW DAY COUNSELING CENTER
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 1061 MAITLAND CENTER COMMONS BLVD SUITE 215
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City | MAITLAND
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State | FL
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Zip | 32751-7435
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Country | US
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Telephone | 407-260-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 1061 MAITLAND CENTER COMMONS BLVD SUITE 215
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City | MAITLAND
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State | FL
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Zip | 32751-7435
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Country | US
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Telephone | 407-260-6181
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR/OWNER
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Name | DEBORAH GOODWIN
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Credential | LMHC
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Telephone | 497-260-6181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH9472
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License Number State | FL
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