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General NPI Number Information
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NPI Number | 1699555086
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Entity Type | Individual
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Provider Name | VANESSA LYNN MONN MSW
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Gender | Female
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 30327 TOKARA TER
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City | MOUNT DORA
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State | FL
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Zip | 32757-7874
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Country | US
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Telephone | 407-399-5298
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Fax |
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Provider Business Mailing Address
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Address Line | 2921 S ORLANDO DR STE 150
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City | SANFORD
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State | FL
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Zip | 32773-4105
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Country | US
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Telephone | 407-399-5298
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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