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NPI 1700909090

NPI 1700909090 : MENTAL HEALTH ASSOCIATION OF CENTRAL FLORIDA : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1700909090
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    Entity Type          |    Organization 
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    Legal Business Name  |    MENTAL HEALTH ASSOCIATION OF CENTRAL FLORIDA 
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Dates
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    Enumeration Date     |    04/09/2007
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    Last Update Date     |    01/14/2020
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Provider Practice Location Address
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    Address Line         |    1525 E ROBINSON ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32801-2121
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    Country              |    US
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    Telephone            |    407-898-0110
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    Fax                  |    407-898-0122
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Provider Business Mailing Address
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    Address Line         |    1525 E ROBINSON ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32801-2121
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    Country              |    US
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    Telephone            |    407-898-0110
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    Fax                  |    407-898-0122
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    MS. CHARLOTTE  MELTON 
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    Credential           |    
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    Telephone            |    407-898-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    EAP0786
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    License Number State |    FL
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