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General NPI Number Information
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NPI Number | 1780079624
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Entity Type | Organization
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Legal Business Name | CHEER COUNSELING, INC
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 339 E ROBERTSON ST
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City | BRANDON
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State | FL
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Zip | 33511-5253
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Country | US
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Telephone | 813-662-4214
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Fax | 813-662-4213
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Provider Business Mailing Address
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Address Line | 339 E ROBERTSON ST
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City | BRANDON
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State | FL
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Zip | 33511-5253
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Country | US
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Telephone | 813-662-4214
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Fax | 813-662-4213
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LINDA J FALKNER
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Credential | LMHC
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Telephone | 813-662-4214
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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 | 11842
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License Number State | FL
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