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General NPI Number Information
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NPI Number | 1568823508
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Entity Type | Organization
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Legal Business Name | PERSPECTIVES III
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 818 E SILVER SPRINGS BLVD
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City | OCALA
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State | FL
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Zip | 34470-6710
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Country | US
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Telephone | 352-622-3724
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Fax | 928-708-9620
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Provider Business Mailing Address
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Address Line | 818 E SILVER SPRINGS BLVD
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City | OCALA
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State | FL
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Zip | 34470-6710
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Country | US
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Telephone | 352-622-3724
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Fax | 928-708-9620
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Authorized Official
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Title or Position | COO
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Name | BETTY JO DONNELLY
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Credential |
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Telephone | 352-622-3725
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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 | 0542AD045901
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License Number State | FL
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