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General NPI Number Information
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NPI Number | 1194017004
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Entity Type | Organization
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Legal Business Name | EMERGE PSYCHOTHERAPY & HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 1400 E OAKLAND PARK BLVD SUITE 201
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4400
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Country | US
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Telephone | 954-770-8176
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Fax |
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Provider Business Mailing Address
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Address Line | 4421 NE 15TH WAY
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City | OAKLAND PARK
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State | FL
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Zip | 33334-5529
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Country | US
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Telephone | 954-770-8176
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NANCY G. TRUSZ
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Credential | ACUPUNCTURE PHYSICIA
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Telephone | 954-770-8176
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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 | SW 8515
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2408
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License Number State | FL
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