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General NPI Number Information
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NPI Number | 1528283793
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Entity Type | Individual
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Provider Name | VINCENT GEORGE HENNESSY MA, LMHC, LPC
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Gender | Male
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 718 GARDEN PLZ
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City | ORLANDO
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State | FL
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Zip | 32803-4212
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Country | US
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Telephone | 407-894-8894
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Fax | 407-894-8893
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Provider Business Mailing Address
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Address Line | 665 KISSIMMEE PL
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4617
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Country | US
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Telephone | 407-579-9279
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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 | MH8883
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License Number State | FL
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