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General NPI Number Information
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NPI Number | 1467882449
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Entity Type | Organization
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Legal Business Name | GIVING TCM, INC
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 1000 PONCE DE LEON BLVD STE 109
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City | CORAL GABLES
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State | FL
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Zip | 33134-3336
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Country | US
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Telephone | 786-233-3910
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Fax | 786-233-3910
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Provider Business Mailing Address
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Address Line | 1000 PONCE DE LEON BLVD STE 109
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City | CORAL GABLES
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State | FL
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Zip | 33134-3336
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Country | US
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Telephone | 786-233-3910
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Fax | 786-233-3910
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARLEN CASTELLANO
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Credential | PSY.D
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Telephone | 786-234-8038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | C234540645480
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License Number State | FL
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