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General NPI Number Information
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NPI Number | 1376802827
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Entity Type | Organization
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Legal Business Name | DIANA LYNN FOLTZ, LCSW LLC
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 7451 TOWER BRIDGE DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8317
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Country | US
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Telephone | 813-388-6369
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Fax | 813-388-6369
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Provider Business Mailing Address
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Address Line | 7451 TOWER BRIDGE DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8317
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Country | US
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Telephone | 813-388-6369
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Fax | 813-388-6369
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Authorized Official
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Title or Position | LCSW
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Name | MS. DIANA LYNN FOLTZ
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Credential | LCSW LLC
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Telephone | 813-388-6369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 9391
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License Number State | FL
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