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General NPI Number Information
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NPI Number | 1669773503
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Entity Type | Organization
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Legal Business Name | WESTWOOD ALLIANCE CHAPEL, INC.
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 4412 N APOPKA VINELAND RD
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City | ORLANDO
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State | FL
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Zip | 32818-8519
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Country | US
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Telephone | 407-295-4381
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Fax | 407-290-6206
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Provider Business Mailing Address
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Address Line | 4412 N APOPKA VINELAND RD
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City | ORLANDO
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State | FL
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Zip | 32818-8519
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Country | US
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Telephone | 407-295-4381
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Fax | 407-290-6206
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Authorized Official
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Title or Position | COUNSELING CENTER DIRECTOR
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Name | MRS. JAN TURNER AMERMAN
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Credential | M.A., LMHC
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Telephone | 407-295-4381
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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 | MH10484
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License Number State | FL
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