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General NPI Number Information
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NPI Number | 1790402675
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Entity Type | Organization
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Legal Business Name | BE ZENTERED, LLC
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 595 BLUE PARK RD
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City | ORANGE CITY
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State | FL
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Zip | 32763-6618
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Country | US
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Telephone | 386-624-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 595 BLUE PARK RD
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City | ORANGE CITY
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State | FL
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Zip | 32763-6618
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Country | US
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Telephone | 407-205-2627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANCY BEATRIZ VALDES
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Credential | LCSW
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Telephone | 407-205-2627
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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 |
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License Number State |
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