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General NPI Number Information
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NPI Number | 1619433083
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Entity Type | Organization
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Legal Business Name | TRANSCENDENT SOLUTIONS
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 41 JONQUIL AVE NW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4534
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Country | US
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Telephone | 850-396-2938
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Fax |
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Provider Business Mailing Address
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Address Line | 41 JONQUIL AVE NW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SABRINA BIVINS
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Credential | LMHC
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Telephone | 850-396-2938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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