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General NPI Number Information
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NPI Number | 1851861256
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Entity Type | Individual
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Provider Name | LANICIA WANZETTA CAIN MS
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Gender | Female
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 414 LAKE HOWELL RD
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City | MAITLAND
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State | FL
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Zip | 32751-5900
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Country | US
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Telephone | 407-575-9102
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Fax | 407-558-3438
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Provider Business Mailing Address
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Address Line | 1850 LEE RD STE 322
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City | WINTER PARK
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State | FL
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Zip | 32789-2107
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Country | US
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Telephone | 407-637-2633
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | IMH15376
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | IMH15376
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MCAP0101003
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH24262
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15376
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH15376
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | IMH15376
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License Number State | FL
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