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General NPI Number Information
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NPI Number | 1851561617
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Entity Type | Individual
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Provider Name | ANDRAI HAK MENTAL HEALTH COUNSE
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Gender | Male
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Dates
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Enumeration Date | 03/08/2008
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Last Update Date | 03/08/2008
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Provider Practice Location Address
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Address Line | 2950 ALOMA AVE SUITE 202
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City | WINTER PARK
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State | FL
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Zip | 32792-3662
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Country | US
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Telephone | 407-975-0400
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Fax | 407-696-4831
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Provider Business Mailing Address
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Address Line | 4715 LIGHTHOUSE RD
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City | ORLANDO
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State | FL
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Zip | 32808-1617
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Country | US
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Telephone | 321-438-4032
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Fax | 407-578-3961
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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 | IMH6213
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License Number State | FL
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