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General NPI Number Information
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NPI Number | 1497914246
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Entity Type | Organization
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Legal Business Name | 2-STRIVE, LLC
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 800 S EUSTIS ST SUITE G
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City | EUSTIS
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State | FL
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Zip | 32726-4886
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Country | US
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Telephone | 321-436-8445
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Fax | 407-298-9166
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Provider Business Mailing Address
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Address Line | PO BOX 364
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City | GOTHA
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State | FL
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Zip | 34734-0364
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Country | US
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Telephone | 321-436-8445
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Fax | 407-573-1193
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Authorized Official
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Title or Position | CEO
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Name | DR. BARRY DALY
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Credential | ED.D.,LMHC,BCBA-D
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Telephone | 321-436-8445
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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 | 05047
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 05047
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License Number State | FL
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