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General NPI Number Information
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NPI Number | 1700548179
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Entity Type | Individual
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Provider Name | MRS. ZAIDA PALAVICINI-FABRE
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Gender | Female
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 180 E CENTRAL AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33880-6308
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Country | US
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Telephone | 863-417-8168
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Fax |
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Provider Business Mailing Address
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Address Line | 5757 OLD LUCERNE PARK RD
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City | WINTER HAVEN
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State | FL
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Zip | 33881-8273
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Country | US
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Telephone | 863-521-2082
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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