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General NPI Number Information
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NPI Number | 1235945122
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Entity Type | Organization
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Legal Business Name | INTUITIVE TRANSFORMATIONS, LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 5005 W LAUREL ST
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City | TAMPA
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State | FL
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Zip | 33607-3886
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Country | US
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Telephone | 727-851-2090
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Fax |
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Provider Business Mailing Address
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Address Line | 4603 S SHAMROCK RD
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City | TAMPA
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State | FL
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Zip | 33611-3110
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Country | US
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Telephone | 727-851-2090
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRIMARY THERAPIST
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Name | MR. BRILLION ADAMS
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Credential | LCSW
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Telephone | 727-851-2090
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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 |
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License Number State |
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