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General NPI Number Information
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NPI Number | 1649580580
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Entity Type | Individual
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Provider Name | CAMILLE D PEREZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 630 N SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32807-3330
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Country | US
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Telephone | 407-737-4007
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Fax | 407-737-7997
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Provider Business Mailing Address
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Address Line | 523 HICKORY CT
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-1438
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Country | US
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Telephone | 305-510-7940
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Fax | 407-737-7997
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 10045
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License Number State | FL
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