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General NPI Number Information
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NPI Number | 1801341888
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA YOUNG MEN'S CHRISTIAN ASSOCIATION, INC
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 433 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-5721
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Country | US
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Telephone | 407-896-9220
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Fax | 407-896-4247
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Provider Business Mailing Address
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Address Line | 433 N MILLS AVE
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City | ORLANDO
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State | FL
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Zip | 32803-5798
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Country | US
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Telephone | 407-896-9220
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Fax | 407-896-4247
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICE
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Name | COLLEEN MANAHAN
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Credential |
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Telephone | 407-896-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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