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General NPI Number Information
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NPI Number | 1366067076
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN CORPORATE PSYCHOTHERAPY
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 1000 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7479
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Country | US
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Telephone | 877-759-0919
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Fax |
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Provider Business Mailing Address
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Address Line | 18117 BISCAYNE BLVD STE 2052
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City | AVENTURA
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State | FL
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Zip | 33160-2535
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Country | US
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Telephone | 877-759-0919
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTEN TOLBERT
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Credential | EDD, LMHC/LPC
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Telephone | 877-759-0919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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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 | 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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