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General NPI Number Information
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NPI Number | 1942661608
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Entity Type | Individual
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Provider Name | JUNIA RICHEMOND LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 10125 W COLONIAL DR STE 212
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City | OCOEE
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State | FL
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Zip | 34761-4200
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Country | US
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Telephone | 407-753-7441
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Fax |
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Provider Business Mailing Address
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Address Line | 600 NORTHLAKE BLVD STE 150
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6177
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33007569A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1901852
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17501
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License Number State | FL
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