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General NPI Number Information
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NPI Number | 1366647018
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Entity Type | Individual
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Provider Name | HANZEL PEREIRA L.M.H.C.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 1463 OAKFIELD DR SUITE 127
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City | BRANDON
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State | FL
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Zip | 33511-3899
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Country | US
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Telephone | 813-684-7627
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Fax | 813-654-3270
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Provider Business Mailing Address
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Address Line | 1463 OAKFIELD DR SUITE 127
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City | BRANDON
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State | FL
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Zip | 33511-3899
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Country | US
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Telephone | 813-684-7627
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Fax | 813-654-3270
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH 0001683
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License Number State | FL
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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 | MH0001683
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License Number State | FL
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