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NPI 1003954611

NPI 1003954611 : DNT INSTITUTE INCORPORATED : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1003954611
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    Entity Type          |    Organization 
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    Legal Business Name  |    DNT INSTITUTE INCORPORATED 
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Dates
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    Enumeration Date     |    02/03/2007
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    Last Update Date     |    11/27/2007
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Provider Practice Location Address
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    Address Line         |    1750 SW HEALTH PKWY 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34109-0420
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    Country              |    US
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    Telephone            |    239-566-7717
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 112233 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34108-0138
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. KAORI  FRIESS 
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    Credential           |    PH.D.
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    Telephone            |    239-566-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    PY0006280
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    License Number State |    FL
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