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General NPI Number Information
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NPI Number | 1083035554
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Entity Type | Organization
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Legal Business Name | TRANSITIONS FAMILY SERVICES
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 1802 N ALAFAYA TRL
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City | ORLANDO
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State | FL
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Zip | 32826-4716
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Country | US
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Telephone | 407-223-8873
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 N ALAFAYA TRL
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City | ORLANDO
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State | FL
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Zip | 32826-4716
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Country | US
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Telephone | 407-223-8873
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRISTAN FAITH
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Credential | LMHC, LPCC, PHD
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Telephone | 407-223-8873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH10201
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License Number State | FL
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