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NPI 1467853069

NPI 1467853069 : TRIGLAV LIFE COACHING, INC : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1467853069
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRIGLAV LIFE COACHING, INC 
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Dates
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    Enumeration Date     |    09/15/2014
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    Last Update Date     |    09/15/2014
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Provider Practice Location Address
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    Address Line         |    6808 PALMETTO CIR S SUITE 204
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-3505
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    Country              |    US
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    Telephone            |    561-299-1028
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6808 PALMETTO CIR S SUITE 204
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-3505
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    Country              |    US
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    Telephone            |    561-299-1028
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MATEJA  PETJE 
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    Credential           |    LMFT
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    Telephone            |    561-299-1028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MT2338
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    License Number State |    FL
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