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NPI 1467347526

NPI 1467347526 : CARLA BARRERA CBHCM : KISSIMMEE, FL

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General NPI Number Information
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    NPI Number           |    1467347526
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    Entity Type          |    Individual 
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    Provider Name        |    CARLA BARRERA CBHCM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2025
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    809 MABBETTE ST 
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    City                 |    KISSIMMEE
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    State                |    FL
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    Zip                  |    34741-5155
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    Country              |    US
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    Telephone            |    321-206-6560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8102 LILLIES WAY APT 105 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32825-3308
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    Country              |    US
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    Telephone            |    407-535-9994
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    CBHCM.0107619P
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    License Number State |    FL
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