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General NPI Number Information
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NPI Number | 1982975769
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Entity Type | Individual
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Provider Name | JULIE BLAMASAH LMHC, CAP, SAP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 5200 US HIGHWAY 98 E
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-6030
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Country | US
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Telephone | 203-954-9211
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Fax | 850-231-1263
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Provider Business Mailing Address
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Address Line | 57 HALLELUJAH AVE
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-6085
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Country | US
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Telephone | 203-954-9211
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Fax | 850-231-1263
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000926
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15033
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License Number State | FL
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