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General NPI Number Information
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NPI Number | 1770792558
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Entity Type | Individual
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Provider Name | PASCALE ROY MA, NCC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 3751 MAGUIRE BLVD SUITE 211 FLORIDA DEPT OF HEALTH BSCIP
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-256-3886
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Fax | 352-243-9993
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Provider Business Mailing Address
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Address Line | PO BOX 120543
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City | CLERMONT
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State | FL
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Zip | 34712-0543
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Country | US
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Telephone | 407-256-3886
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Fax | 352-243-9993
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH5640
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License Number State | FL
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