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General NPI Number Information
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NPI Number | 1881737682
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Entity Type | Individual
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Provider Name | NANCY LOUISE ANGELOVICH LMHC,CAP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6720 54TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33709-1402
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Country | US
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Telephone | 727-547-4508
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Fax | 727-547-4517
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Provider Business Mailing Address
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Address Line | 7893 SAILBOAT KEY BLVD S #403
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-6364
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Country | US
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Telephone | 727-367-6052
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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 | MH 5648
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License Number State | FL
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