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NPI 1669548442

NPI 1669548442 : BEST LIFE COUNSELING : PINELLAS PARK, FL

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General NPI Number Information
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    NPI Number           |    1669548442
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEST LIFE COUNSELING 
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Dates
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    Enumeration Date     |    11/25/2006
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    Last Update Date     |    07/07/2008
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Provider Practice Location Address
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    Address Line         |    10707 66TH ST STE 6 
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    City                 |    PINELLAS PARK
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    State                |    FL
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    Zip                  |    33782-2336
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    Country              |    US
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    Telephone            |    727-743-8446
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10707 66TH ST STE 6 
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    City                 |    PINELLAS PARK
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    State                |    FL
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    Zip                  |    33782-2336
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     HEATHER  PUGH 
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    Credential           |    
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    Telephone            |    727-743-8446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    FL
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