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General NPI Number Information
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NPI Number | 1407013360
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Entity Type | Individual
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Provider Name | EDUARDO E PEREZ LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 822B N JOHN YOUNG PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34741-4912
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Country | US
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Telephone | 855-501-1004
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20081
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City | WEST PALM BEACH
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State | FL
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Zip | 33416-0081
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Country | US
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Telephone | 561-723-1313
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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 | MH7578
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License Number State | FL
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