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General NPI Number Information
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NPI Number | 1790220200
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Entity Type | Organization
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Legal Business Name | POSTPARTUM WELLNESS AND FAMILY COUNSELING
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 1810 NW 6TH ST SUITE E
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City | GAINESVILLE
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State | FL
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Zip | 32609-8548
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Country | US
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Telephone | 352-278-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 NW 6TH ST SUITE E
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City | GAINESVILLE
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State | FL
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Zip | 32609-8548
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Country | US
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Telephone | 352-278-2538
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAUREN DEPAOLA
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Credential | LCSW
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Telephone | 352-278-2538
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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 | SW12196
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License Number State | FL
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