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General NPI Number Information
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NPI Number | 1538403381
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Entity Type | Organization
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Legal Business Name | TRANQUILITY HEALTHCARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 11/17/2012
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 314 S PARRAMORE AVE
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City | ORLANDO
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State | FL
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Zip | 32805-2650
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Country | US
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Telephone | 407-603-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 MARTIN LUTHER KING JR BLVD SUITE 170
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City | CHAPEL HILL
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State | NC
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Zip | 27514-7415
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Country | US
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Telephone | 407-603-6181
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. CHRISTINA BENSON
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Credential |
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Telephone | 407-603-6181
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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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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 |
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License Number State |
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