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General NPI Number Information
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NPI Number | 1376330282
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Entity Type | Individual
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Provider Name | ELENA MARGARITA ALCAZAR FLINT
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Gender |
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1150 S SEMORAN BLVD STE A
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City | ORLANDO
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State | FL
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Zip | 32807-1424
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Country | US
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Telephone | 407-704-7811
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Fax | 407-382-0659
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Provider Business Mailing Address
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Address Line | 820 SENECA MEADOWS RD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4741
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Country | US
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Telephone | 786-653-2616
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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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