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General NPI Number Information
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NPI Number | 1861264798
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Entity Type | Individual
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Provider Name | HOLLI GOTSIS
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Gender | Female
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 1602 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-0827
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Country | US
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Telephone | 813-655-6367
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 CARRIAGE PARK DR
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City | VALRICO
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State | FL
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Zip | 33594-4655
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Country | US
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Telephone | 813-495-1125
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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 | 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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