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General NPI Number Information
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NPI Number | 1922470467
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Entity Type | Individual
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Provider Name | MR. JULIO CESAR LACHAGA JR.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 10502 SATELLITE BLVD STE D
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City | ORLANDO
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State | FL
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Zip | 32837-8479
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Country | US
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Telephone | 801-413-6168
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 FORESTDALE ST
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City | SAINT CLOUD
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State | FL
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Zip | 34771-9316
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Country | US
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Telephone | 801-487-0499
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3984
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10111946-3902
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License Number State | UT
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