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General NPI Number Information
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NPI Number | 1780830810
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Entity Type | Organization
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Legal Business Name | CENTER FOR POSITIVE PSYCHOLOGY
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 1110 DOUGLAS AVE STE 3040
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2061
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Country | US
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Telephone | 407-644-2000
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Fax | 407-644-3484
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Provider Business Mailing Address
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Address Line | 1110 DOUGLAS AVE STE 3040
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2061
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Country | US
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Telephone | 407-644-2000
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Fax | 407-644-3484
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALAN D KECK
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Credential | PSYD
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Telephone | 407-644-2000
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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 | M3446
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY4007
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License Number State | FL
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