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General NPI Number Information
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NPI Number | 1467170902
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC ALTERNATIVES
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 300 S E 2ND STREET SUITE 600
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City | FT. LAUDERDALE
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State | FL
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Zip | 33301
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Country | US
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Telephone | 401-287-8810
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Fax | 407-287-8810
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Provider Business Mailing Address
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Address Line | 1865 POST ROAD SUITE 106
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City | WARWICK
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State | RI
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Zip | 02886
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Country | US
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Telephone | 401-287-8810
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Fax | 401-287-8847
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Authorized Official
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Title or Position | OWNER
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Name | DR. TASIA HENDERSON
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Credential | DNP PMHNP
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Telephone | 401-287-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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