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General NPI Number Information
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NPI Number | 1659895159
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGHS OF NORTH FLORIDA LLC
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 87003 PROFESSIONAL WAY
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City | YULEE
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State | FL
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Zip | 32097-3400
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Country | US
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Telephone | 904-849-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 87003 PROFESSIONAL WAY
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City | YULEE
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State | FL
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Zip | 32097-3400
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Country | US
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Telephone | 904-849-1190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARTY ROWLAND EDWARDS
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Credential | LMFT
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Telephone | 904-849-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3313
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License Number State | FL
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