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General NPI Number Information
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NPI Number | 1376055400
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Entity Type | Organization
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Legal Business Name | MARY WELSH FOUNDATION, INC.
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 3820 GUNN HWY STE 100
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City | TAMPA
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State | FL
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Zip | 33618-8720
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Country | US
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Telephone | 833-333-3878
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Fax |
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Provider Business Mailing Address
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Address Line | 4826 CHEVAL BLVD
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City | LUTZ
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State | FL
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Zip | 33558-5337
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Country | US
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Telephone | 813-215-0066
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN OF THE BOARD
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Name | MS. ROBIN FOSTER
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Credential | LMHC
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Telephone | 813-215-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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