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General NPI Number Information
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NPI Number | 1649126558
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Entity Type | Organization
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Legal Business Name | EMDR UNLOCKED LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 5000 CHARDONNAY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4122
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Country | US
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Telephone | 617-286-5581
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Fax | 781-386-2591
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Provider Business Mailing Address
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Address Line | 5000 CHARDONNAY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4122
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Country | US
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Telephone | 617-286-5581
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Fax | 781-386-2591
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERLY MILLAN
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Credential | LICSW
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Telephone | 954-778-7025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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