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General NPI Number Information
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NPI Number | 1861125965
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Entity Type | Organization
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Legal Business Name | SEMPER MOTIS LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 1317 EDGEWATER DR STE 4399
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 757-818-0499
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Fax | 800-813-1916
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Provider Business Mailing Address
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Address Line | 112 S RHODES ST
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City | MOUNT DORA
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State | FL
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Zip | 32757-6116
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Country | US
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Telephone | 757-818-0499
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Fax | 800-813-9164
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HART MEYRICH
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Credential |
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Telephone | 407-340-9039
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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 |
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License Number State |
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