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General NPI Number Information
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NPI Number | 1578024394
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Entity Type | Individual
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Provider Name | HOLLIE H ARAD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 3941 68TH AVE N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-6136
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Country | US
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Telephone | 404-227-3149
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 W WATROUS AVE
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City | TAMPA
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State | FL
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Zip | 33629-4231
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Country | US
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Telephone | 404-227-3149
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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 | MH8482
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License Number State | FL
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