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General NPI Number Information
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NPI Number | 1437835519
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Entity Type | Organization
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Legal Business Name | FROM THE HART OF ORLANDO INC.
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 301 N PINE MEADOW DR
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City | DEBARY
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State | FL
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Zip | 32713-2375
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Country | US
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Telephone | 386-259-7307
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Fax |
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Provider Business Mailing Address
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Address Line | 2608 TRAVIDA DR
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City | DELTONA
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State | FL
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Zip | 32738-6700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SHAWNEECE HUNT
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Credential |
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Telephone | 407-414-4612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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