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General NPI Number Information
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NPI Number | 1104270776
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Entity Type | Organization
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Legal Business Name | CONSISTENT THERAPY, LLC.
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 17407 BRIDGE HILL CT SUITE I
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City | TAMPA
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State | FL
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Zip | 33647-3522
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Country | US
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Telephone | 813-400-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 17407 BRIDGE HILL CT SUITE I
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City | TAMPA
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State | FL
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Zip | 33647-3522
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Country | US
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Telephone | 813-400-3368
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | PROF. MADELINE CINTRON-HALL
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Credential | LCSW
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Telephone | 813-400-3368
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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 | SW10002
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License Number State | FL
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