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General NPI Number Information
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NPI Number | 1356152516
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Entity Type | Individual
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Provider Name | ALEJANDRA MARIE PASCUAL MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 45 E. 13 ST.
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City | ST CLOUD
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State | FL
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Zip | 34769-4779
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Country | US
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Telephone | 407-749-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 13979 OSPREY LINKS RD
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City | ORLANDO
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State | FL
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Zip | 32837-4835
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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