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General NPI Number Information
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NPI Number | 1497039804
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Entity Type | Individual
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Provider Name | ADAM CHARLES COLANDO M.S.,LMHC, CAP
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Gender | Male
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 533 N NOVA RD #204
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City | ORMOND BEACH
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State | FL
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Zip | 32174-4447
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Country | US
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Telephone | 352-636-8178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 463
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City | ALTOONA
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State | FL
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Zip | 32702-0463
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Country | US
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Telephone | 352-636-8178
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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 | MH11652
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP5916
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License Number State | FL
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