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General NPI Number Information
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NPI Number | 1538661319
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Entity Type | Individual
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Provider Name | STEVEN TEREZAKIS
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Gender | Male
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 2015 GRANT PL
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City | MELBOURNE
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State | FL
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Zip | 32901-5600
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Country | US
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Telephone | 772-492-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 2077 SW BRIAROAK TRL
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City | PALM CITY
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State | FL
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Zip | 34990-7715
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Country | US
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Telephone | 772-678-1118
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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 | MH26559
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License Number State | FL
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