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General NPI Number Information
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NPI Number | 1619321593
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Entity Type | Organization
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Legal Business Name | TD EDUCATIONAL SERVICES
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 3701 COCOPLUM CIR
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City | COCONUT CREEK
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State | FL
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Zip | 33063-5934
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Country | US
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Telephone | 954-536-1456
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 COCOPLUM CIR
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City | COCONUT CREEK
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State | FL
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Zip | 33063-5934
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Country | US
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Telephone | 954-536-1456
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Fax |
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Authorized Official
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Title or Position | GUIDANCE DIRECTOR
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Name | MS. LATASHA S KENDRICK
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Credential | M.ED.
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Telephone | 954-536-1456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 886298
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License Number State | FL
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