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General NPI Number Information
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NPI Number | 1558657270
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Entity Type | Organization
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Legal Business Name | PBC & ASSOCIATES
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 3349 N UNIVERSITY DR SUITE 4
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City | HOLLYWOOD
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State | FL
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Zip | 33024-9000
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Country | US
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Telephone | 954-885-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 N UNIVERSITY DR SUITE 4
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City | HOLLYWOOD
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State | FL
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Zip | 33024-9000
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Country | US
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Telephone | 954-885-9500
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | PHILIP SOLOMON
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Credential | R.PH., LMFT, LMHC
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Telephone | 954-885-9500
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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 | MT1214
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License Number State | FL
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