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General NPI Number Information
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NPI Number | 1639761414
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Entity Type | Individual
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Provider Name | ISAAC DUMAY RMHCI, LPTA
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Gender | Male
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1204 CHATHAM PINE PL
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City | BRANDON
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State | FL
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Zip | 33511-4714
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Country | US
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Telephone | 786-374-5937
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Fax |
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Provider Business Mailing Address
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Address Line | 11308 WESTON POINTE DR APT 103
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City | BRANDON
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State | FL
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Zip | 33511-2721
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Country | US
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Telephone | 786-374-5937
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 29646
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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 | IMH26269
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License Number State | FL
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