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NPI 1528422458

NPI 1528422458 : NICHOLE DAWKINS RIMHC : MAITLAND, FL

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General NPI Number Information
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    NPI Number           |    1528422458
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    Entity Type          |    Individual 
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    Provider Name        |    NICHOLE DAWKINS RIMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2016
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    Last Update Date     |    04/01/2025
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Provider Practice Location Address
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    Address Line         |    1515 S ORLANDO AVE STE E 
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    City                 |    MAITLAND
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    State                |    FL
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    Zip                  |    32751-6471
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    Country              |    US
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    Telephone            |    407-603-6272
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1515 S ORLANDO AVE STE E 
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    City                 |    MAITLAND
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    State                |    FL
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    Zip                  |    32751-6471
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    Country              |    US
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    Telephone            |    407-860-0639
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    Fax                  |    407-505-6373
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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       |    IMH24598
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    IMH24598
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    IMH24598
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    PMT220
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    License Number State |    FL
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Taxonomy #5
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    IMH24598
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    License Number State |    FL
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Taxonomy #6
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    CBHCMS.0102720
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    License Number State |    FL
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