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General NPI Number Information
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NPI Number | 1922052232
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Entity Type | Individual
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Provider Name | WILLIAM PATRICK BRENNAN L.M.H.C., C.A.P.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 533 N NOVA RD SUITE 202
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City | ORMOND BEACH
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State | FL
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Zip | 32174-4447
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Country | US
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Telephone | 386-672-7470
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 EUSTACE AVE
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City | DELTONA
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State | FL
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Zip | 32725-1712
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Country | US
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Telephone | 386-789-0082
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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 | MH4572
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License Number State | FL
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