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General NPI Number Information
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NPI Number | 1508427444
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Entity Type | Organization
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Legal Business Name | BUILDING FAMILIES ACCORDING TO PATTERN, LLC
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 2500 HOLLYWOOD BLVD STE 401
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6615
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Country | US
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Telephone | 786-471-8312
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Fax |
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Provider Business Mailing Address
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Address Line | 180 NE 12TH AVE APT 15C
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4551
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Country | US
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Telephone | 305-494-0700
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | GEORGIA A BRYCE
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Credential | LMFT, MSEE, CPLC
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Telephone | 305-494-0700
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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 |
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