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General NPI Number Information
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NPI Number | 1457345043
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Entity Type | Individual
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Provider Name | GWEN ZECHEL RN, LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3205 SOUTHGATE CIR # 11
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City | SARASOTA
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State | FL
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Zip | 34239-5514
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Country | US
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Telephone | 941-356-7245
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Fax | 941-927-2764
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Provider Business Mailing Address
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Address Line | 3205 SOUTHGATE CIR # 11
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City | SARASOTA
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State | FL
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Zip | 34239-5514
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Country | US
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Telephone | 941-356-7245
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Fax | 941-927-2764
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH3208
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License Number State | FL
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