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General NPI Number Information
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NPI Number | 1235685637
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Entity Type | Organization
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Legal Business Name | INTRICATE MINDS, LLC
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 9160 ROE ST
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City | PENSACOLA
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State | FL
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Zip | 32514-3507
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Country | US
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Telephone | 850-207-0489
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Fax |
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Provider Business Mailing Address
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Address Line | 345 LIMERICK LN
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City | PENSACOLA
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State | FL
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Zip | 32514-1412
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Country | US
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Telephone | 850-207-0489
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | FRANKIE SANCHEZ
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Credential | LCSW
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Telephone | 850-207-0489
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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 | SW13885
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License Number State | FL
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