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General NPI Number Information
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NPI Number | 1023431624
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Entity Type | Organization
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Legal Business Name | ABUNDANT SOLUTIONS COUNSELING, LLC
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 335 S PLUMOSA ST STE F
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3567
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Country | US
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Telephone | 321-301-4591
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Fax | 321-301-4589
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Provider Business Mailing Address
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Address Line | 335 S PLUMOSA ST STE F
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3567
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Country | US
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Telephone | 321-301-4591
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Fax | 321-301-4589
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | MS. TERRY L. FOLLETT
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Credential | LMFT
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Telephone | 321-301-4591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2050
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License Number State | FL
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