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General NPI Number Information
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NPI Number | 1285495879
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Entity Type | Organization
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Legal Business Name | PIVOT PERSPECTIVE LLC
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 217 SW 18TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1525
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Country | US
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Telephone | 315-767-1432
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Fax |
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Provider Business Mailing Address
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Address Line | 217 SW 18TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1525
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Country | US
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Telephone | 315-767-1432
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MEGAN POTTER
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Credential |
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Telephone | 315-767-1432
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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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