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General NPI Number Information
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NPI Number | 1417201302
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Entity Type | Organization
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Legal Business Name | EMERGE COUNSELING SERVICES
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 2295 S HIAWASSEE RD SUITE 207
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City | ORLANDO
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State | FL
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Zip | 32835-8746
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Country | US
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Telephone | 407-716-2582
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Fax | 866-657-8545
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Provider Business Mailing Address
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Address Line | PO BOX 681148
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City | ORLANDO
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State | FL
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Zip | 32868-1148
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Country | US
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Telephone | 407-716-2582
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Fax | 866-657-8545
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DONALD L BARBER
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Credential | M,S LMHC,NCC
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Telephone | 407-716-2582
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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 | MH 8870
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License Number State | FL
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