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General NPI Number Information
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NPI Number | 1891178695
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Entity Type | Organization
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Legal Business Name | GUIDED ENTERPRISES LLC
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 5660 SW 89TH ST
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City | OCALA
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State | FL
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Zip | 34476-9499
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Country | US
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Telephone | 352-207-0075
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Fax | 352-620-0508
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Provider Business Mailing Address
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Address Line | PO BOX 6015
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City | OCALA
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State | FL
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Zip | 34478-6015
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Country | US
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Telephone | 352-207-0075
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Fax | 352-620-0508
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Authorized Official
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Title or Position | OWNER
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Name | LORI J MANNONE
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Credential | LMHC
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Telephone | 352-207-0075
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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 | MH13489
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License Number State | FL
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