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General NPI Number Information
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NPI Number | 1447485057
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC & EDUCATIONAL INTERVENTIONS, INC.
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 8163 DIAMOND COVE CIR
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City | ORLANDO
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State | FL
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Zip | 32836-6053
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Country | US
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Telephone | 407-376-7609
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Fax |
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Provider Business Mailing Address
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Address Line | 8163 DIAMOND COVE CIR
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City | ORLANDO
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State | FL
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Zip | 32836-6053
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Country | US
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Telephone | 407-376-7609
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN M ZIEGLER URTZ
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Credential | LMHC
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Telephone | 407-376-7609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH5780
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License Number State | FL
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