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General NPI Number Information
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NPI Number | 1649740978
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Entity Type | Individual
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Provider Name | YALITZA FLOR CANDELARIO
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Gender | Female
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 1532 ALGONKIN LOOP
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City | ORLANDO
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State | FL
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Zip | 32828-5265
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Country | US
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Telephone | 407-388-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32807-1460
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Country | US
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Telephone | 800-867-7405
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State | FL
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