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General NPI Number Information
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NPI Number | 1992983308
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Entity Type | Organization
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Legal Business Name | NEW OPTIONS AND LIFESTYLES DEVELOPMENT CENTER, INC.
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5448 HOFFNER AVE STE 307
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City | ORLANDO
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State | FL
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Zip | 32812-2508
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Country | US
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Telephone | 407-930-7317
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Fax | 407-850-8142
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Provider Business Mailing Address
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Address Line | 5448 HOFFNER AVE STE 307
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City | ORLANDO
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State | FL
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Zip | 32812-2508
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Country | US
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Telephone | 407-930-7317
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Fax | 407-850-8142
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. OLGA M VIERA
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Credential | PSYD.
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Telephone | 407-930-7317
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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 | MH3152
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License Number State | FL
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