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General NPI Number Information
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NPI Number | 1710454335
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Entity Type | Individual
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Provider Name | LATONYA SMITH MA
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Gender | Female
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 3001 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-3752
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Country | US
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Telephone | 321-437-3715
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Fax | 407-567-7044
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Provider Business Mailing Address
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Address Line | 7228 CLARCONA OCOEE RD UNIT 124
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City | CLARCONA
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State | FL
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Zip | 32710-2001
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Country | US
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Telephone | 321-437-3715
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Fax | 407-567-7011
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | FL
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