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General NPI Number Information
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NPI Number | 1033834395
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Entity Type | Organization
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Legal Business Name | INTEGRAL PIECES, LLC
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 190 FITZGERALD RD STE 1
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City | LAKELAND
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State | FL
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Zip | 33813-2620
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Country | US
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Telephone | 863-320-2722
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 E NORTON ST
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City | LAKELAND
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State | FL
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Zip | 33803-2424
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Country | US
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Telephone | 863-660-7698
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORI CUSTER GARNER
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Credential | ED.S.
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Telephone | 863-660-7698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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