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General NPI Number Information
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NPI Number | 1366133845
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Entity Type | Individual
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Provider Name | CHRISTIAN GUIRADO RMHCI
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Gender | Male
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 6718 LAKE NONA BLVD STE 250
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City | ORLANDO
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State | FL
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Zip | 32827-7985
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Country | US
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Telephone | 325-483-3769
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Fax |
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Provider Business Mailing Address
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Address Line | 9331 BRADLEIGH DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4890
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Country | US
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Telephone | 407-808-5570
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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 |
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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 | IMH24250
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License Number State | FL
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