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General NPI Number Information
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NPI Number | 1093987463
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Entity Type | Organization
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Legal Business Name | INSPIRATIONS FOR YOUTH AND FAMILIES LLC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 1216 SE 1ST AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1802
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Country | US
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Telephone | 954-376-4783
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Fax | 954-765-0787
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Provider Business Mailing Address
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Address Line | 24 SW 10TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-1272
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Country | US
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Telephone | 954-376-4783
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Fax | 954-765-0787
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER WALSH
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Credential |
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Telephone | 954-376-4783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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