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General NPI Number Information
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NPI Number | 1043763402
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Entity Type | Organization
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Legal Business Name | LIVE FREE WELLNESS INSTITUTE LLC
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 7709 DAVIE ROAD EXT
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2515
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Country | US
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Telephone | 305-336-1739
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Fax |
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Provider Business Mailing Address
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Address Line | 7709 DAVIE ROAD EXT
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2515
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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 | OWNER
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Name | SUZANNE SCHECTER
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Credential |
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Telephone | 305-336-1739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW4814
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License Number State | FL
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