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General NPI Number Information
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NPI Number | 1639513872
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Entity Type | Organization
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Legal Business Name | EMPATHIC PARTNERS IOP, LLC
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 1408 N KILLIAN DR STE 201
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City | LAKE PARK
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State | FL
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Zip | 33403-1961
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Country | US
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Telephone | 561-845-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 N KILLIAN DR STE 201
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City | LAKE PARK
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State | FL
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Zip | 33403-1961
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Country | US
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Telephone | 561-845-9488
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/CEO
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Name | MR. NOEL DAVID NEU
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Credential | MS, LMHC
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Telephone | 561-845-9488
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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 | MH8954
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License Number State | FL
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