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General NPI Number Information
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NPI Number | 1689111502
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Entity Type | Organization
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Legal Business Name | DARYL DOWDING
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 390 ALCAIA RD.
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 863-680-1950
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Fax | 863-683-4654
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Provider Business Mailing Address
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Address Line | 390 ALCAIA RD.
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 863-680-1950
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Fax | 863-683-4654
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Authorized Official
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Title or Position | OWNER
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Name | MS. DARYL DOWDING
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Credential | LMHC
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Telephone | 863-680-1950
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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 | 5881
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License Number State | FL
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