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General NPI Number Information
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NPI Number | 1619083276
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Entity Type | Organization
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Legal Business Name | GIRLS AND BOYS TOWN OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3500 S SANFORD AVE
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City | SANFORD
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State | FL
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Zip | 32773-5829
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Country | US
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Telephone | 407-366-3667
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Fax | 407-365-5397
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Provider Business Mailing Address
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Address Line | 37 ALAFAYA WOODS BLVD
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City | OVIEDO
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State | FL
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Zip | 32765-6233
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Country | US
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Telephone | 407-366-3667
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Fax | 407-365-5397
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GREG ZBYLUT
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Credential |
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Telephone | 407-366-3667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | FL
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