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General NPI Number Information
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NPI Number | 1356158307
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Entity Type | Individual
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Provider Name | MARIAH DERAMO JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 755 RINEHART RD STE 100
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City | LAKE MARY
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State | FL
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Zip | 32746-4885
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Country | US
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Telephone | 407-896-8097
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Fax |
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Provider Business Mailing Address
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Address Line | 590 PALIO CT
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City | OCOEE
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State | FL
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Zip | 34761-5032
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Country | US
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Telephone | 941-323-1999
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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 | SW23546
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License Number State | FL
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