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General NPI Number Information
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NPI Number | 1396888723
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Entity Type | Individual
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Provider Name | RANDIE L MORILLO CSW
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2869 WILSHIRE D TRICOUNTY PSYCHIATRIC ASSOCIATES, P.A..
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City | ORLANDO
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State | FL
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Zip | 32836
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Country | US
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Telephone | 407-578-6200
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Fax | 407-578-3977
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Provider Business Mailing Address
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Address Line | 7550 HINSON ST APT. 6A
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City | ORLANDO
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State | FL
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Zip | 32819-5189
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Country | US
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Telephone | 407-222-4831
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Fax | 407-355-9816
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8253
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License Number State | FL
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