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General NPI Number Information
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NPI Number | 1639423890
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Entity Type | Organization
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Legal Business Name | LILIAN PFEIFFER LCSW P.A.
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 600 N HIATUS RD SUITE 201
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-5207
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Country | US
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Telephone | 954-801-5312
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Fax | 954-212-0477
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Provider Business Mailing Address
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Address Line | 1950 NW 107TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2318
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Country | US
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Telephone | 954-801-5312
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Fax | 954-212-0477
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LILIAN PFEIFFER
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Credential | LCSW
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Telephone | 954-801-5312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | SW 4823
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License Number State | FL
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