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General NPI Number Information
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NPI Number | 1467996892
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Entity Type | Organization
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Legal Business Name | MGS COUNSELING & THERAPY SERVICES,
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Dates
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Enumeration Date | 12/03/2016
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Last Update Date | 12/03/2016
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Provider Practice Location Address
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Address Line | 8400 N UNIVERSITY DR STE.201
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City | TAMARAC
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State | FL
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Zip | 33321-1752
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Country | US
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Telephone | 754-999-0410
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 N UNIVERSITY DR STE.201
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City | TAMARAC
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State | FL
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Zip | 33321-1752
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Country | US
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Telephone | 754-999-0410
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST/PUBLICSPEAKER
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Name | GAIL WILSON
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Credential | MS
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Telephone | 754-999-0410
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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 |
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License Number State | FL
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