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General NPI Number Information
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NPI Number | 1083104210
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPY INSTITUTE
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 3590 NW 54TH ST STE 3
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6366
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Country | US
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Telephone | 954-245-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 3556 SW 14TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-3563
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Country | US
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Telephone | 954-643-3186
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Fax |
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Authorized Official
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Title or Position | OWNER/LMFT
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Name | ANGELA HOOD
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Credential |
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Telephone | 954-245-1999
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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 | 3424
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License Number State | FL
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