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General NPI Number Information
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NPI Number | 1649084971
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Entity Type | Individual
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Provider Name | JOEL CORREA
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Gender | Male
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 5920 METROPOLIS WAY STE 101
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City | ORLANDO
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State | FL
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Zip | 32811-2706
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Country | US
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Telephone | 321-344-1273
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 ABELL CIR
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City | OVIEDO
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State | FL
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Zip | 32765-7010
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Country | US
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Telephone | 954-709-9433
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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