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General NPI Number Information
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NPI Number | 1528839727
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Entity Type | Organization
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Legal Business Name | A UNIQUE THERAPY CENTER, PA
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 7100 CAMINO REAL STE 302
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 561-300-4066
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Fax | 561-409-4383
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Provider Business Mailing Address
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Address Line | 7100 CAMINO REAL STE 302
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 561-300-4066
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Fax | 561-409-4383
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. MARTHA LATZ
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Credential | MFT
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Telephone | 561-300-4066
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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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