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General NPI Number Information
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NPI Number | 1831642446
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Entity Type | Organization
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Legal Business Name | UCP OF CENTRAL FLORIDA
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Dates
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Enumeration Date | 07/31/2016
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Last Update Date | 07/31/2016
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Provider Practice Location Address
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Address Line | 448 W DONEGAN AVE
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City | KISSIMMEE
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State | FL
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Zip | 34741-2335
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Country | US
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Telephone | 407-852-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 W COLONIAL DR SUITE,300
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City | ORLANDO
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State | FL
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Zip | 32804-7163
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Country | US
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Telephone | 407-852-3347
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Fax | 407-420-1556
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Authorized Official
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Title or Position | RISK MANAGER
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Name | MRS. ROSINA PADILLA
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Credential |
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Telephone | 407-852-3347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | OT14539
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License Number State | FL
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