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General NPI Number Information
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NPI Number | 1790125896
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Entity Type | Individual
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Provider Name | NATHALIE VIAU MSW
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Gender | Female
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 1009 MAITLAND CENTER COMMONS BLVD STE 212
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City | MAITLAND
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State | FL
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Zip | 32751-7270
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Country | US
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Telephone | 407-885-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 1924 SUNSET PALM DR
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City | APOPKA
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State | FL
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Zip | 32712-8192
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Country | US
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Telephone | 407-885-6250
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Fax |
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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 | ISW9595
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License Number State | FL
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