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General NPI Number Information
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NPI Number | 1770817512
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Entity Type | Organization
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Legal Business Name | POSITIVE CHANGE COUNSELING SERVICES
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Dates
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Enumeration Date | 09/27/2009
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Last Update Date | 09/27/2009
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Provider Practice Location Address
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Address Line | 6645 VINELAND RD SUITE 250
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City | ORLANDO
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State | FL
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Zip | 32819-7841
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Country | US
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Telephone | 407-230-6280
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Fax |
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Provider Business Mailing Address
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Address Line | 6645 VINELAND RD SUITE 250
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City | ORLANDO
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State | FL
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Zip | 32819-7841
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Country | US
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Telephone | 407-230-6280
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KAREN FOLEY
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Credential | LCSW
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Telephone | 407-230-6280
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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 | SW8445
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License Number State | FL
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