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General NPI Number Information
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NPI Number | 1356545644
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Entity Type | Individual
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Provider Name | CHERILYN LEIGH ROWLAND PETRIE M.A..
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5467 COUNTY ROAD 427
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City | SANFORD
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State | FL
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Zip | 32773-6332
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Country | US
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Telephone | 407-324-3036
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Fax | 407-324-3045
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Provider Business Mailing Address
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Address Line | 288 E LONG CREEK CV
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City | LONGWOOD
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State | FL
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Zip | 32750-3435
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Country | US
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Telephone | 407-739-2488
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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 | MH 8206
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License Number State | FL
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