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General NPI Number Information
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NPI Number | 1932643079
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Entity Type | Organization
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Legal Business Name | MICHELE H BACHMANLLC
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 668 N ORLANDO AVE STE 208
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City | MAITLAND
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State | FL
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Zip | 32751-4495
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Country | US
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Telephone | 407-421-0887
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Fax |
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Provider Business Mailing Address
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Address Line | 3296 N WESTMORELAND DR
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City | ORLANDO
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State | FL
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Zip | 32804-3636
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Country | US
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Telephone | 407-421-0887
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MICHELE H BACHMAN
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Credential | LMHC
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Telephone | 407-421-0887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 13788
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License Number State | FL
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