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General NPI Number Information
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NPI Number | 1508060765
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Entity Type | Individual
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Provider Name | EMILY KRISTIN FORREST MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 615 E PRINCETON ST SUITE 300
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City | ORLANDO
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State | FL
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Zip | 32803-1456
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Country | US
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Telephone | 407-898-6005
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Fax | 407-898-7722
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Provider Business Mailing Address
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Address Line | 615 E PRINCETON ST SUITE 300
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City | ORLANDO
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State | FL
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Zip | 32803-1456
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Country | US
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Telephone | 407-898-6005
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Fax | 407-898-7722
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 235318
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | ME112108
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License Number State | FL
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