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General NPI Number Information
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NPI Number | 1942654306
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Entity Type | Individual
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Provider Name | ELIZABETH G VALENCIA
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Gender | Female
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 3201 E COLONIAL DR STE D46
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City | ORLANDO
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State | FL
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Zip | 32803-5140
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Country | US
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Telephone | 407-730-7983
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Fax | 407-985-3678
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Provider Business Mailing Address
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Address Line | 4298 BANCROFT BLVD
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City | ORLANDO
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State | FL
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Zip | 32833-4704
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Country | US
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Telephone | 904-370-9540
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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