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General NPI Number Information
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NPI Number | 1629516471
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Entity Type | Organization
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Legal Business Name | NEW INFINITE POSSIBILITIES, INC
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 45 NW 8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-4452
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Country | US
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Telephone | 850-398-2799
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Fax | 305-246-0310
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Provider Business Mailing Address
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Address Line | 45 NW 8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-4452
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Country | US
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Telephone | 850-398-2799
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Fax | 305-246-0310
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | VALERIE TERREZE PRINCE
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Credential | LMHC/ CAP
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Telephone | 850-398-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | ADC-003834-2014
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License Number State | FL
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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 | MH 12991
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License Number State | FL
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