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General NPI Number Information
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NPI Number | 1528949906
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Entity Type | Organization
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Legal Business Name | MENTORS FOR FATHERLESS CHILDREN AND ABUSED FAMILIES CORPORATION
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2804 BELCO DR
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City | ORLANDO
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State | FL
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Zip | 32808-3557
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Country | US
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Telephone | 347-287-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 3564 AVALON PARK EAST BLVD STE 1 SUITE 1 #3032
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City | ORLANDO
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State | FL
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Zip | 32828-7365
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Country | US
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Telephone | 407-813-6099
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Fax | 407-788-7851
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SAMARA JULES - ROBINSON
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Credential |
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Telephone | 347-287-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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