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General NPI Number Information
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NPI Number | 1982061537
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Entity Type | Organization
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Legal Business Name | ABC COUNSELING SERVICES,LLC
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 37 N ORANGE AVE STE 500
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City | ORLANDO
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State | FL
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Zip | 32801-2459
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Country | US
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Telephone | 407-488-1809
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Fax |
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Provider Business Mailing Address
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Address Line | 37 N ORANGE AVE STE 500
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City | ORLANDO
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State | FL
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Zip | 32801-2459
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Country | US
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Telephone | 407-488-1809
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. REGINALD R BRANTLEY
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Credential | CAP
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Telephone | 407-236-6583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5848
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH970
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License Number State | FL
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