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General NPI Number Information
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NPI Number | 1376885459
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC MANAGEMENT SERVICES, LLC
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 1265 SW MELODY DR
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City | ARCADIA
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State | FL
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Zip | 34266-4257
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Country | US
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Telephone | 863-244-1701
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 SW MELODY DR
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City | ARCADIA
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State | FL
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Zip | 34266-4257
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Country | US
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Telephone | 863-244-1701
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAREN RENEE SUMLER
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Credential | LMHC
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Telephone | 863-244-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 232516
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License Number State | FL
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