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General NPI Number Information
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NPI Number | 1598444143
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Entity Type | Organization
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Legal Business Name | PERSON FIRST THERAPY L.L.C.
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 21906 WAVERLY SHORES LN
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City | LAND O LAKES
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State | FL
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Zip | 34637-7563
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Country | US
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Telephone | 561-702-9912
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Fax |
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Provider Business Mailing Address
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Address Line | 21906 WAVERLY SHORES LN
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City | LAND O LAKES
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State | FL
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Zip | 34637-7563
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Country | US
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Telephone | 561-702-9912
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. LAURENCE SPENCER FORD
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Credential |
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Telephone | 813-775-8392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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