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General NPI Number Information
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NPI Number | 1518779453
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Entity Type | Individual
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Provider Name | JESSICA PROULX RMFTI
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 365 WEKIVA SPRINGS RD STE 231
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City | LONGWOOD
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State | FL
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Zip | 32779-3690
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Country | US
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Telephone | 386-785-6013
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Fax |
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Provider Business Mailing Address
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Address Line | 2241 ROBERT D RD
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City | MOUNT DORA
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State | FL
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Zip | 32757-9786
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Country | US
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Telephone | 386-785-6013
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4217
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License Number State | FL
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