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General NPI Number Information
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NPI Number | 1962789081
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Entity Type | Individual
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Provider Name | RITA COYNE MSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2479 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-898-7798
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Fax |
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Provider Business Mailing Address
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Address Line | 520 FERNWOOD DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6336
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Country | US
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Telephone | 407-961-9283
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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 | 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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW23632
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License Number State | FL
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