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General NPI Number Information
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NPI Number | 1841527801
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Entity Type | Individual
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Provider Name | ORLANDO SANTIAGO SR. M. ED., LMHC
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Gender | Male
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 8615 COMMODITY CIR STE 12
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City | ORLANDO
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State | FL
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Zip | 32819-9072
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Country | US
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Telephone | 321-948-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 1843 ISLAND WALK DR
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City | ORLANDO
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State | FL
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Zip | 32824-4705
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Country | US
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Telephone | 321-948-2104
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Fax | 321-445-5396
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MH14605
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License Number State | FL
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