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General NPI Number Information
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NPI Number | 1225085343
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Entity Type | Organization
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Legal Business Name | M.A.D. FOR YOU INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 1900 N UNIVERSITY DR STE 103
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-435-3683
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Fax | 954-435-2263
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Provider Business Mailing Address
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Address Line | 1900 N UNIVERSITY DR STE 103
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3618
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Country | US
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Telephone | 954-435-3683
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Fax | 954-435-2263
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARGRET ROSE CAMILLE DELLOSSO
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Credential | PSYD
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Telephone | 954-435-3683
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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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