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General NPI Number Information
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NPI Number | 1356785174
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Entity Type | Individual
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Provider Name | CARMEN M GUZMAN NEGRETE CBHCMS
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Gender | Female
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 6900 TAVISTOCK LAKES BLVD STE 400
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City | ORLANDO
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State | FL
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Zip | 32827-7593
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Country | US
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Telephone | 407-789-6928
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Fax | 321-256-5799
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Provider Business Mailing Address
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Address Line | 4883 FELLS COVE AVE
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City | KISSIMMEE
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State | FL
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Zip | 34744-9250
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Country | US
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Telephone | 407-271-3794
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Fax | 321-256-5799
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCMS100474
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | PR
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