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General NPI Number Information
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NPI Number | 1629714167
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Entity Type | Organization
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Legal Business Name | A SPECIAL TOUCH SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 234 WINDING COVE AVE
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City | APOPKA
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State | FL
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Zip | 32703-1653
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Country | US
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Telephone | 407-497-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 234 WINDING COVE AVE
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City | APOPKA
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State | FL
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Zip | 32703-1653
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Country | US
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Telephone | 407-497-9060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ORVIE MIZZELL
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Credential | QBA
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Telephone | 407-448-2415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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