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General NPI Number Information
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NPI Number | 1255720843
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Entity Type | Organization
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Legal Business Name | HORSE AND PETTING PAL INTERACTION, INC.
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 17800 SW 52 CT
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City | SOUTHWEST RANCHES
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State | FL
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Zip | 33331
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Country | US
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Telephone | 954-629-8133
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Fax |
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Provider Business Mailing Address
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Address Line | 7958 HOLLYWOOD BLVD BOX 356
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6918
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Country | US
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Telephone | 954-629-8133
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. MARIE LIM
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Credential |
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Telephone | 954-629-8133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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