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General NPI Number Information
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NPI Number | 1528618501
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Entity Type | Organization
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Legal Business Name | JACQUELYN GRANDA, LLC
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 21301 POWERLINE RD STE 304
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City | BOCA RATON
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State | FL
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Zip | 33433-2391
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Country | US
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Telephone | 561-299-1549
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Fax |
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Provider Business Mailing Address
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Address Line | 21301 POWERLINE RD STE 304
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City | BOCA RATON
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State | FL
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Zip | 33433-2391
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Country | US
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Telephone | 561-299-1549
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELYN MICHELLE GRANDA
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Credential |
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Telephone | 561-902-8317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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