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NPI 1902456429

NPI 1902456429 : MIRIAM RUTH ORMSBY MSW : ALTAMONTE SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1902456429
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    Entity Type          |    Individual 
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    Provider Name        |    MIRIAM RUTH ORMSBY MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/17/2019
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    Last Update Date     |    09/17/2019
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Provider Practice Location Address
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    Address Line         |    378 CENTERPOINTE CIR STE 1252 
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    City                 |    ALTAMONTE SPRINGS
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    State                |    FL
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    Zip                  |    32701-3425
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    Country              |    US
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    Telephone            |    800-509-3090
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3895 FLOWERING STREAM WAY 
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    City                 |    OVIEDO
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    State                |    FL
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    Zip                  |    32766-8666
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    Country              |    US
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    Telephone            |    434-409-4581
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    ISW13910
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    License Number State |    FL
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