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General NPI Number Information
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NPI Number | 1457528465
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Entity Type | Organization
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Legal Business Name | THE RELATIONSHIP COUNSELING CENTER
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 680 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6738
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Country | US
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Telephone | 954-704-0911
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Fax | 954-704-1975
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Provider Business Mailing Address
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Address Line | 680 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6738
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Country | US
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Telephone | 954-704-0911
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Fax | 954-704-1975
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID R TEITELBAUM
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Credential | LMHC
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Telephone | 954-704-0911
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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 | MH3058
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License Number State | FL
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