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General NPI Number Information
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NPI Number | 1467913764
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Entity Type | Organization
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Legal Business Name | CHERYL KING COUNSELING
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 752 BLANDING BLVD STE 121
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City | ORANGE PARK
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State | FL
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Zip | 32065-8711
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Country | US
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Telephone | 904-385-0392
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Fax |
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Provider Business Mailing Address
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Address Line | 6262 STARLIGHT DR
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City | JACKSONVILLE
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State | FL
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Zip | 32244-3753
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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 | OWNER
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Name | CHERYL KING
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Credential | LCSW
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Telephone | 850-284-5193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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