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General NPI Number Information
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NPI Number | 1982013371
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Entity Type | Individual
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Provider Name | ANDREW WERNER PARISH LMHC
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Gender | Male
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 08/11/2014
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Provider Practice Location Address
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Address Line | 141 E CENTRAL AVE SUITE 240A
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City | WINTER HAVEN
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State | FL
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Zip | 33880-6338
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Country | US
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Telephone | 863-206-9428
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Fax |
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Provider Business Mailing Address
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Address Line | 851 SUNSET COVE DR
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City | WINTER HAVEN
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State | FL
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Zip | 33880-1783
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Country | US
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Telephone | 863-412-2626
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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 | MH12760
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License Number State | FL
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