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General NPI Number Information
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NPI Number | 1457238826
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Entity Type | Organization
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Legal Business Name | FLORIDA THERAPY & EVALUATION SERVICES LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 9541 103RD ST APT 1221
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City | JACKSONVILLE
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State | FL
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Zip | 32210-0338
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Country | US
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Telephone | 850-264-3053
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Fax |
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Provider Business Mailing Address
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Address Line | 9541 103RD ST APT 1221
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City | JACKSONVILLE
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State | FL
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Zip | 32210-0338
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Country | US
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Telephone | 850-264-3053
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TESHAUNDRIA WESTON
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Credential |
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Telephone | 850-264-3053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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