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General NPI Number Information
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NPI Number | 1134002157
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Entity Type | Organization
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Legal Business Name | THOUSAND BRANCHES PROFESSIONALS FLORIDA PLLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 7130 S LEWIS AVE STE 905
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City | TULSA
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State | OK
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Zip | 74136-5436
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Country | US
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Telephone | 539-239-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 7130 S LEWIS AVE STE 905
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City | TULSA
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State | OK
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Zip | 74136-5436
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Country | US
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Telephone | 539-239-3365
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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