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General NPI Number Information
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NPI Number | 1376368308
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Entity Type | Organization
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Legal Business Name | TAMPA CHRISTIAN COUNSELING LLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 19337 SHUMARD OAK DR UNIT 101
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City | LAND O LAKES
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State | FL
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Zip | 34638-7235
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Country | US
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Telephone | 813-358-7487
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Fax |
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Provider Business Mailing Address
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Address Line | 19165 PEASE PL
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City | LUTZ
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State | FL
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Zip | 33558-4862
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Country | US
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Telephone | 508-783-6807
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA DAWOUD
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Credential | LMHC
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Telephone | 508-783-6807
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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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