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General NPI Number Information
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NPI Number | 1477410140
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Entity Type | Individual
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Provider Name | GARRETT CHRISTIAN PARDOE NCC
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Gender | Male
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 4300 S HWY 27 STE 205
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City | CLERMONT
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State | FL
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Zip | 34711-8067
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Country | US
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Telephone | 407-949-0214
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 CR 776
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City | WEBSTER
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State | FL
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Zip | 33597-5119
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Country | US
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Telephone | 410-599-4282
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH26032
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License Number State | FL
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