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General NPI Number Information
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NPI Number | 1538424130
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Entity Type | Organization
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Legal Business Name | URBAN COUNSELING, LLC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 1130 SE 18TH PL SUITE 400
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City | OCALA
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State | FL
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Zip | 34471-5422
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Country | US
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Telephone | 352-390-6659
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Fax | 352-390-8756
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Provider Business Mailing Address
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Address Line | 1130 SE 18TH PL SUITE 400
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City | OCALA
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State | FL
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Zip | 34471-5422
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Country | US
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Telephone | 352-390-6659
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Fax | 352-390-8756
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Authorized Official
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Title or Position | OWNER
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Name | JOYCE K URBAN
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Credential | M.A., L.M.H.C.
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Telephone | 352-390-6659
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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 | MH9889
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License Number State | FL
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