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General NPI Number Information
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NPI Number | 1043675283
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Entity Type | Organization
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Legal Business Name | ANCHOR COUNSELING AND TRAINING CENTER
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 810 ANCHOR RODE DR
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City | NAPLES
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State | FL
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Zip | 34103-2739
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Country | US
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Telephone | 239-262-6911
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Fax | 239-403-0548
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Provider Business Mailing Address
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Address Line | 810 ANCHOR RODE DR
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City | NAPLES
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State | FL
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Zip | 34103-2739
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Country | US
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Telephone | 239-262-6911
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Fax | 239-403-0548
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANNE DURANTE
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Credential | ED.S
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Telephone | 239-262-6911
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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 | MT1224
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License Number State | FL
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