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General NPI Number Information
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NPI Number | 1790153534
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Entity Type | Organization
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Legal Business Name | I AM H.E.R.E.
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 1800 PEMBROOK DR 300
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City | ORLANDO
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State | FL
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Zip | 32810-6928
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Country | US
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Telephone | 954-607-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 155 N PEARL LAKE CSWY 212
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2950
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Country | US
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Telephone | 954-607-8485
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | DR. DENISE TREADWELL THOMPKINS
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Credential | LMHC, EDD
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Telephone | 954-607-8485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH 12970
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License Number State | FL
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