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General NPI Number Information
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NPI Number | 1568094860
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Entity Type | Individual
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Provider Name | GEOFFREY WHIT HELMS LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 3072 NW DREW HALL RD
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City | ALTHA
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State | FL
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Zip | 32421-2106
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Country | US
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Telephone | 850-427-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 273 E CREEKVIEW DR
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City | WEWAHITCHKA
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State | FL
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Zip | 32465-2703
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Country | US
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Telephone | 850-427-2650
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP100108
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW15368
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License Number State | FL
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