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General NPI Number Information
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NPI Number | 1407257322
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Entity Type | Organization
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Legal Business Name | REFLECTION WELLNESS CENTER OF BROWARD
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 10650 SW 71ST AVE
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City | MIAMI
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State | FL
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Zip | 33156-3944
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Country | US
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Telephone | 305-661-3501
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Fax |
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Provider Business Mailing Address
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Address Line | 10650 SW 71ST AVE
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City | MIAMI
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State | FL
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Zip | 33156-3944
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Country | US
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Telephone | 305-661-3501
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Fax |
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Authorized Official
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Title or Position | PER DIEM THERAPIST
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Name | MS. MELISSA HOPE BERGER
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Credential | M.A.
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Telephone | 305-661-3501
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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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