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General NPI Number Information
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NPI Number | 1346867702
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Entity Type | Individual
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Provider Name | SEBASTIANA HALPIN MA
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Gender | Female
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 254 S RONALD REAGAN BLVD STE 134
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City | LONGWOOD
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State | FL
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Zip | 32750-5490
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Country | US
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Telephone | 407-774-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 740 CENTRAL FL PKWY
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City | WINTER PARK
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State | FL
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Zip | 32792-1782
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMFT3288
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH19249
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License Number State | FL
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