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General NPI Number Information
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NPI Number | 1629600283
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Entity Type | Individual
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Provider Name | GABRIEL I MOUYAL RMHCI
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Gender | Male
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 6000 LAKE ELLENOR DR
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City | ORLANDO
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State | FL
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Zip | 32809-4615
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Country | US
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Telephone | 407-613-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 12141 CARSON DR
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City | ORLANDO
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State | FL
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Zip | 32824-7360
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Country | US
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Telephone | 407-451-8962
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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 | IMH19283
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License Number State | FL
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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 | MH20464
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License Number State | FL
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