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General NPI Number Information
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NPI Number | 1649463449
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Entity Type | Organization
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Legal Business Name | WINDY HILL INSTITUTE, INC
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 600 SW 3RD ST SUITE 6126
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6932
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Country | US
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Telephone | 305-490-1778
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Fax | 305-249-7973
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Provider Business Mailing Address
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Address Line | 850 IVES DAIRY RD T-57/409
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-2450
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Country | US
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Telephone | 305-490-1778
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHLEEN ANNE JOHNSON
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Credential | LMHC
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Telephone | 305-490-1778
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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 | MH 7109
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License Number State | FL
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