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General NPI Number Information
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NPI Number | 1306109632
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Entity Type | Organization
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Legal Business Name | MULTILINGUAL PSYCHOTHERAPY CENTERS, INC.
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 1304 MYRTLEWOOD CIR E
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-6712
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Country | US
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Telephone | 561-389-5898
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Fax |
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Provider Business Mailing Address
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Address Line | 3671 HUDSON MANOR TER APT. 18 A
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City | BRONX
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State | NY
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Zip | 10463-1137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. JACLYN PETROV
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Credential | LCSW
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Telephone | 561-389-5898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 080748-1
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License Number State | NY
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