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General NPI Number Information
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NPI Number | 1174505234
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Entity Type | Organization
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Legal Business Name | COUNSELING & PSYCHOTHERAPY CENTERS OF FL INC
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 153 US HWAY 41 N SUITE H
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City | LUTZ
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State | FL
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Zip | 33549
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Country | US
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Telephone | 813-948-6000
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Fax | 813-929-9891
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Provider Business Mailing Address
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Address Line | PO BOX 2548
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City | LUTZ
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State | FL
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Zip | 33548
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Country | US
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Telephone | 813-948-6000
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Fax | 813-929-9891
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Authorized Official
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Title or Position | VP
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Name | GARY ROSENFELD
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Credential | PHD LMFT
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Telephone | 813-948-6000
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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 | MT81
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License Number State | FL
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