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General NPI Number Information
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NPI Number | 1144098716
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Entity Type | Organization
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Legal Business Name | THE STARFISH FOUNDATION INC
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 6149 DELTONA BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1000
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Country | US
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Telephone | 352-428-5235
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Fax | 877-552-0940
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Provider Business Mailing Address
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Address Line | 6149 DELTONA BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1000
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Country | US
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Telephone | 352-428-5235
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Fax | 877-552-0940
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Authorized Official
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Title or Position | PRESIDENT
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Name | DORY RICHARDS
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Credential | LMFT
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Telephone | 352-428-5235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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