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General NPI Number Information
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NPI Number | 1568501690
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Entity Type | Individual
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Provider Name | BEVERLY GALE OWENS LMHC 5977 FL
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1910 E HILLCREST ST
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-896-0136
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Fax | 407-897-0904
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Provider Business Mailing Address
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Address Line | 1822 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-896-0136
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5977
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License Number State | FL
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