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General NPI Number Information
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NPI Number | 1316569494
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Entity Type | Organization
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Legal Business Name | LAMPEIN MARRIAGE AND FAMILY THERAPY INSTITUTE, INC.
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 1803 PARK CENTER DR STE 101
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City | ORLANDO
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State | FL
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Zip | 32835-6216
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Country | US
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Telephone | 321-465-9411
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Fax | 321-406-1426
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Provider Business Mailing Address
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Address Line | 1803 PARK CENTER DR STE 101
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City | ORLANDO
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State | FL
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Zip | 32835-6216
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Country | US
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Telephone | 321-465-9411
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Fax | 321-406-1426
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JOSEF KEVIN HARDWICK
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Credential | LMFT, LICSW, QS
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Telephone | 321-465-9411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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