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General NPI Number Information
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NPI Number | 1972420412
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Entity Type | Individual
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Provider Name | ISABELLE COVENTRY
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 100 E SYBELIA AVE STE 260
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City | MAITLAND
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State | FL
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Zip | 32751-4709
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Country | US
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Telephone | 321-209-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 545 DELANEY AVE STE 1
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City | ORLANDO
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State | FL
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Zip | 32801-3866
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Country | US
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Telephone | 407-906-5321
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW22794
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License Number State | FL
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