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General NPI Number Information
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NPI Number | 1821353434
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Entity Type | Organization
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Legal Business Name | KATHLEEN FITZPATRICK, LMHC LLC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 6220 S ORANGE BLOSSOM TRL SUITE 188
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City | ORLANDO
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State | FL
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Zip | 32809-4630
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Country | US
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Telephone | 407-492-1713
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 783662
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City | WINTER GARDEN
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State | FL
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Zip | 34778-3662
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Country | US
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Telephone | 407-492-1713
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN FITZPATRICK
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Credential |
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Telephone | 407-492-1713
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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 | MH8556
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License Number State | FL
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