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General NPI Number Information
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NPI Number | 1265377659
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Entity Type | Organization
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Legal Business Name | ALT THERAPY LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 800 E CYPRESS CREEK RD # 2406
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334-3560
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Country | US
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Telephone | 561-877-1381
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 N CYPRESS DR APT 205
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4154
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Country | US
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Telephone | 561-877-1381
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MR. RYAN TOCARCHICK
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Credential | LMHC
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Telephone | 561-877-1381
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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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