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General NPI Number Information
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NPI Number | 1518056811
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Entity Type | Organization
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Legal Business Name | FIRST BAPTIST CHURCH OF ORLANDO COUNSELING CENTER
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3000 SOUTH JOHN YOUNG PARKWAY
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City | ORLANDO
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State | FL
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Zip | 32805
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Country | US
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Telephone | 407-514-4470
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Fax | 407-514-4509
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Provider Business Mailing Address
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Address Line | 3000 SOUTH JOHN YOUNG PARKWAY
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City | ORLANDO
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State | FL
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Zip | 32805
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Country | US
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Telephone | 407-514-4470
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Fax | 407-514-4509
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Authorized Official
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Title or Position | PSYCHOLOGIST DIRECTOR OF COUNSELING
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Name | DR. CHARLES R BELL III
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Credential | EDD
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Telephone | 407-514-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY00002044
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License Number State | FL
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